Individual
DR. ANAGHA B. JOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, DDS
Contact information
Practice address
2727 WALSH AVE STE 102, SANTA CLARA, CA 95051-0956
(408) 987-0530
(408) 988-0955
Mailing address
2727 WALSH AVE STE 102, SANTA CLARA, CA 95051-0956
(408) 987-0530
(408) 988-0955
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
44707
CA
1223G0001X
General Practice Dentistry
DS-029944-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538378575
GROUP NPI
CA
01
—
44707
DENTAL BOARD OF CALIFORNIA
CA
Enumeration date
10/24/2006
Last updated
07/17/2020
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