# KULBIR S GORAYA DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003561648
- **Authorized official:** KULBIR SINGH GORAYA DDS (PRESIDENT)
- **Authorized official phone:** (540) 286-1110

## Contact information

- **Practice address:** 560 CELEBRATE VIRGINIA PKWY STE 107, FREDERICKSBURG, VA 22406-7298
- **Practice address phone:** (540) 286-1110
- **Mailing address:** 4332 STILL MEADOW RD, FAIRFAX, VA 22032-1633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/12/2022
- **Last updated:** 02/12/2022