Provider Demographics
NPI:1285524603
Name:AHUJA BRISTOL DENTAL INC
Entity type:Organization
Organization Name:AHUJA BRISTOL DENTAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST /OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TARAN
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:REYNOLDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-251-0408
Mailing Address - Street 1:6167 BRISTOL PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-6616
Mailing Address - Country:US
Mailing Address - Phone:310-734-4547
Mailing Address - Fax:
Practice Address - Street 1:6167 BRISTOL PKWY STE 300
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-6616
Practice Address - Country:US
Practice Address - Phone:310-734-4547
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty