Provider Demographics
NPI:1790595247
Name:AHUJA DENTAL NYC PC
Entity type:Organization
Organization Name:AHUJA DENTAL NYC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TARAN
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:REYNOLDS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:202-251-0408
Mailing Address - Street 1:130 COPA DE ORO DR
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92823-7013
Mailing Address - Country:US
Mailing Address - Phone:202-251-0408
Mailing Address - Fax:
Practice Address - Street 1:18 E 48TH ST RM 1602
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-1059
Practice Address - Country:US
Practice Address - Phone:212-308-9188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-08
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0008XDental ProvidersDentistOral and Maxillofacial RadiologyGroup - Single Specialty