# AHUJA DENTAL CORPORATION PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fuller Smiles
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952739732
- **Authorized official:** DR. ARSHJOT SINGH AHUJA (PRESIDENT)
- **Authorized official phone:** (909) 456-5089

## Contact information

- **Practice address:** 4676 ADMIRALTY WAY STE 532, MARINA DEL REY, CA 90292-6657
- **Practice address phone:** (310) 734-4547
- **Mailing address:** 4676 ADMIRALTY WAY STE 532, MARINA DEL REY, CA 90292-6657
- **Mailing address phone:** (310) 734-4547

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 57141 | CA | Yes |

## Other

- **Enumeration date:** 10/14/2013
- **Last updated:** 10/14/2013
