# GDAT SHUKRANA PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Devena Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154114296
- **Authorized official:** DR. DIVISPREET KAUR LUDHER DDS (DDS OWNER)
- **Authorized official phone:** (703) 899-8523

## Contact information

- **Practice address:** 10563 CRESTWOOD DR, MANASSAS, VA 20109-3406
- **Practice address phone:** (703) 899-8523
- **Mailing address:** 7658 CLIFTON RD, FAIRFAX STATION, VA 22039-2030
- **Mailing address phone:** (703) 582-9611

## Taxonomy

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

## Other

- **Enumeration date:** 05/22/2025
- **Last updated:** 05/22/2025