Provider Demographics
NPI:1972081305
Name:AUJLA, HARSHVIR KAUR (DDS)
Entity Type:Individual
Prefix:DR
First Name:HARSHVIR
Middle Name:KAUR
Last Name:AUJLA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5189 W ABRAHAM LN
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-9354
Mailing Address - Country:US
Mailing Address - Phone:716-290-9145
Mailing Address - Fax:
Practice Address - Street 1:25155 N 67TH AVE STE 142
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85083-1065
Practice Address - Country:US
Practice Address - Phone:623-561-6767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-28
Last Update Date:2018-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD010103122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist