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Organization
AHUJA BAYSHORE DENTAL CORP
Active
Organization
AHUJA BAYSHORE DENTAL CORP
Active
Other names
Ahuja Bayshore Dental Corp
Organization subpart
No
Provider details
NPI number
Authorized official
TARAN REYNOLDS DDS (OWNER)
(202) 251-0408
Entity
Organization
Contact information
Practice address
1650 XIMENO AVE, LONG BEACH, CA 90804-2150
(562) 494-3477
Mailing address
1650 XIMENO AVE, STE 200, LONG BEACH, CA 90804-2150
(562) 494-3477
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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