MEDICARE: DR.H.C.AHUJA DDS A P C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	47029	CA

General Provider Information

NPI Number	:	1871755652
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR.H.C.AHUJA DDS A P C

Provider Business Mailing Address
First Line	:	3719 ARLINGTON AVE STE 2
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92506-2653
Country	:	US
Telephone Number	:	951-352-4959
Fax Number	:	951-359-1297

Provider Business Practice Location Address
First Line	:	3719 ARLINGTON AVE STE 2
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92506-2653
Country	:	US
Telephone Number	:	951-530-8585
Fax Number	:	951-359-1297

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. HARKISHAN C AHUJA
Credential	:	DDS
Telephone Number	:	951-530-8585

Provider Enumeration Date	:	07/02/2008
Last Update Date	:	12/05/2023

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