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Organization
GDAT SHUKRANA PLLC
Active
Organization
GDAT SHUKRANA PLLC
Active
Other names
Devena Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIVISPREET KAUR LUDHER DDS (DDS OWNER)
(703) 899-8523
Entity
Organization
Contact information
Practice address
10563 CRESTWOOD DR, MANASSAS, VA 20109-3406
(703) 899-8523
Mailing address
7658 CLIFTON RD, FAIRFAX STATION, VA 22039-2030
(703) 582-9611
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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