Jolly Shah DDS

NPI 1063412054 - Dentist - 1223G0001X

NPI Details
NPI 1063412054
Gender Female
Enumeration Date 07/30/2005
Last Updated 07/09/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
43625 MISSION BLVD
SUITE 105
FREMONT CA, 94539-5852, US
Phone (510) 656-7424
Fax
Business Location
43625 MISSION BLVD
SUITE 105
FREMONT CA, 94539-5852, US
Phone (510) 656-7424
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 44775
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According to our database, Dr. Jolly Shah DDS NPI is 1063412054, taxonomy code is 1223G0001X and license number is 44775, license state is located at California. Jolly Shah DDS physically located at 43625 Mission Blvd, Fremont CA, 94539-5852. NPI Number Jolly Shah DDS has the Individual type.

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1063412054 NPI number is provided on an as is basis without warranty of any kind. 1063412054 is maintained by the National Plan & Provider Enumeration System. The contents of Jolly Shah DDS are for informational purposes only.