| Fullersmiles Long Beach | |
|
1045 Atlantic Ave Ste 602 Long Beach CA 90813-3408 | |
| (562) 435-5388 | |
| Not Available |
| Full Name | Fullersmiles Long Beach |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1045 Atlantic Ave, Long Beach, California |
| Authorized Official Name and Position | Arshjot Singh Ahuja (DENTIST/OWNER) |
| Authorized Official Contact | 9094565089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fullersmiles Long Beach 7890 Haven Ave Ste 3 Ste 3 Rancho Cucamonga CA 91730-3072 Ph: (909) 484-2505 | Fullersmiles Long Beach 1045 Atlantic Ave Ste 602 Long Beach CA 90813-3408 Ph: (562) 435-5388 |
| NPI Number | 1760928329 |
|---|---|
| Provider Enumeration Date | 01/06/2017 |
| Last Update Date | 01/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760928329 | NPI | - | NPPES |
| 1104088178 | Other | CA | PERSONAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 57141 (California) | Primary |
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