# SURAGA LLC

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

## Provider details

- **NPI number:** 1417340381
- **Authorized official:** GAURAV AGARWAL DDS (MEMBER)
- **Authorized official phone:** (540) 404-1223

## Contact information

- **Practice address:** 650 CEDAR CREEK GRADE, SUITE 205, WINCHESTER, VA 22601-6452
- **Practice address phone:** (540) 404-1223
- **Mailing address:** 650 CEDAR CREEK GRADE, SUITE 205, WINCHESTER, VA 22601-6452

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401411194 | VA | Yes |

## Other

- **Enumeration date:** 03/16/2015
- **Last updated:** 03/16/2015