| Ahuja Bayshore Dental Corp | |
|
1650 Ximeno Ave Long Beach CA 90804-2150 | |
| (562) 494-3477 | |
| Not Available |
| Full Name | Ahuja Bayshore Dental Corp |
|---|---|
| Speciality | Dentist |
| Location | 1650 Ximeno Ave, Long Beach, California |
| Authorized Official Name and Position | Taran Reynolds (OWNER) |
| Authorized Official Contact | 2022510408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahuja Bayshore Dental Corp 1650 Ximeno Ave Ste 200 Long Beach CA 90804-2150 Ph: (562) 494-3477 | Ahuja Bayshore Dental Corp 1650 Ximeno Ave Long Beach CA 90804-2150 Ph: (562) 494-3477 |
| NPI Number | 1487373486 |
|---|---|
| Provider Enumeration Date | 08/23/2022 |
| Last Update Date | 08/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487373486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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