MEDICARE: AHUJA SANTA MONICA DENTAL INC

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1992661037
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AHUJA SANTA MONICA DENTAL INC

Provider Business Mailing Address
First Line	:	239 S LA CIENEGA BLVD STE 206
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-3319
Country	:	US
Telephone Number	:	909-456-5089
Fax Number	:

Provider Business Practice Location Address
First Line	:	239 S LA CIENEGA BLVD STE 206
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-3319
Country	:	US
Telephone Number	:	909-456-5089
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ARSH AHUJA
Credential	:
Telephone Number	:	909-456-5089

Provider Enumeration Date	:	01/02/2026
Last Update Date	:	01/02/2026

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