| NPI | 1881068666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLLY SHAH President 408-929-8811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 44775) |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2022-10-12 |