Provider Demographics
NPI:1841508538
Name:DR.H.C.AHUJA DDS A P C
Entity type:Organization
Organization Name:DR.H.C.AHUJA DDS A P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HARKISHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AHUJA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS,MDS
Authorized Official - Phone:951-352-4959
Mailing Address - Street 1:1080 E WASHINGTON ST STE B
Mailing Address - Street 2:
Mailing Address - City:COLTON
Mailing Address - State:CA
Mailing Address - Zip Code:92324-4185
Mailing Address - Country:US
Mailing Address - Phone:909-783-4100
Mailing Address - Fax:
Practice Address - Street 1:1080 E WASHINGTON ST STE B
Practice Address - Street 2:
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-4185
Practice Address - Country:US
Practice Address - Phone:909-783-4100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DR.H.C.AHUJA DDS A P C
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-09-16
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29047122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG93474OtherDENTI-CAL