Shah Jolly DDS Dental Corporation
Shah Jolly DDS Dental Corporation provides Dentist services in San Jose, California. Licensed in California. Registered with an NPI since 2017.
- Licensed in
- CA
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
1761 E Capitol ExpySan Jose, CA 95121-1561
Phone: (408) 223-2500
Fax: (408) 223-5525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|---|
| Dentist | Taxonomy 122300000X · Licence 44775 (CA) |
Record details
| NPI number | 1841722337 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jolly Shah — President/Dentist · (408) 223-2500 |
| NPI enumerated | April 3, 2017 |
| Last updated in NPPES | October 12, 2022 |
| Certification date | October 12, 2022 |
| Mailing address | 44240 Revere Pl, Fremont, CA 94539-5902 |
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