Organization
SURAGA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAURAV AGARWAL DDS (MEMBER)
(540) 404-1223
Entity
Organization
Contact information
Practice address
650 CEDAR CREEK GRADE, SUITE 205, WINCHESTER, VA 22601-6452
(540) 404-1223
Mailing address
650 CEDAR CREEK GRADE, SUITE 205, WINCHESTER, VA 22601-6452
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401411194
VA
Other
Enumeration date
03/16/2015
Last updated
03/16/2015
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