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Organization
PS AHUJA DENTAL CORP
Active
Organization
PS AHUJA DENTAL CORP
Active
Parent organization
PS AHUJA DENTAL CORP
Other names
FULLERSMILES LONG BEACH
Organization subpart
Yes
Provider details
NPI number
Legal business name
PS AHUJA DENTAL CORP
Authorized official
DR. ARSHJOT SINGH AHUJA DDS (DENTIST/OWNER)
(909) 456-5089
Entity
Organization
Contact information
Practice address
1045 ATLANTIC AVE, STE 602, LONG BEACH, CA 90813-3408
(562) 435-5388
Mailing address
7890 HAVEN AVE STE 3, STE 3, RANCHO CUCAMONGA, CA 91730-3072
(909) 484-2505
(909) 484-2507
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
57141
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104088178
PERSONAL
CA
Enumeration date
01/06/2017
Last updated
01/06/2017
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