Healthcare Provider Details

I. General information

NPI: 1215852991
Provider Name (Legal Business Name): AHUJA DENTAL SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2917 ASTORIA BLVD
ASTORIA NY
11102-1741
US

IV. Provider business mailing address

2917 ASTORIA BLVD
ASTORIA NY
11102-1741
US

V. Phone/Fax

Practice location:
  • Phone: 909-456-5089
  • Fax:
Mailing address:
  • Phone: 909-456-5089
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

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