Individual
PUJA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
2075 FOREST AVE, SAN JOSE, CA 95128-4812
(408) 298-3433
Mailing address
10095 S BLANEY AVE APT 201, CUPERTINO, CA 95014-6618
(813) 777-2769
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D10800
OR
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
105977
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2013
Last updated
05/05/2023
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