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Individual

MANISHA SINGH GROVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
540 FORT EVANS RD STE 100, LEESBURG, VA 20176-3379
(703) 779-7779
Mailing address
8711 DIGGES RD, MANASSAS, VA 20110-4403

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
057606
NY
1223G0001X
General Practice Dentistry
Primary
0401415403
VA

Other

Enumeration date
01/15/2015
Last updated
03/17/2018
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