Individual
SIMREN BAGRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
14679 APPLE HARVEST DR STE 100, MARTINSBURG, WV 25401-3703
(304) 707-9674
Mailing address
16723 FALCONHURST DR, PURCELLVILLE, VA 20132-9650
(571) 335-9966
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
29415
FL
122300000X
Dentist
Primary
4727
WV
Other
Enumeration date
07/24/2024
Last updated
09/26/2024
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