Healthcare Provider Details

I. General information

NPI: 1679426209
Provider Name (Legal Business Name): FULLER SMILES SAN FRANCISCO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2026
Last Update Date: 02/16/2026
Certification Date: 02/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1945 NORIEGA ST
SAN FRANCISCO CA
94122-4215
US

IV. Provider business mailing address

1945 NORIEGA ST
SAN FRANCISCO CA
94122-4215
US

V. Phone/Fax

Practice location:
  • Phone: 415-326-8915
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: ARSHJOT AHUJA
Title or Position: CEO
Credential: DDS
Phone: 909-456-5089