Provider Demographics
NPI:1427885789
Name:BHANGRA ENTERPRISES PLLC
Entity type:Organization
Organization Name:BHANGRA ENTERPRISES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GURSIMRAN
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:BHANGRA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-585-5236
Mailing Address - Street 1:42273 OTTER CREEK TER
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20148-1803
Mailing Address - Country:US
Mailing Address - Phone:703-585-5236
Mailing Address - Fax:
Practice Address - Street 1:540 FORT EVANS RD STE 105
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-3379
Practice Address - Country:US
Practice Address - Phone:703-914-3113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental