Individual
MANRAJ SINGH BHANGRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
42273 OTTER CREEK TER, ASHBURN, VA 20148-1803
(571) 888-0166
Mailing address
42273 OTTER CREEK TER, ASHBURN, VA 20148-1803
(571) 888-0166
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401418447
VA
Other
Enumeration date
07/04/2023
Last updated
07/04/2023
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