Individual
GURSIMRAN KAUR BHANGRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8140 STONEWALL SHOPS SQ, GAINESVILLE, VA 20155-3891
(571) 298-8279
Mailing address
42201 DOVE WING CT, BRAMBLETON, VA 20148-8092
(703) 585-5236
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401415905
VA
Other
Enumeration date
04/15/2018
Last updated
04/15/2018
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