# ASHBURN ORTHODONTICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275830473
- **Authorized official:** SAHIRA KORTAM DDS, MSC, MS (DR./ORTHODONTIST)
- **Authorized official phone:** (347) 761-7199

## Contact information

- **Practice address:** 44345 PREMIER PLZ, SUITE 140, ASHBURN, VA 20147-5053
- **Practice address phone:** (347) 761-7199
- **Mailing address:** 44345 PREMIER PLZ, SUITE 140, ASHBURN, VA 20147-5053
- **Mailing address phone:** (347) 761-7199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 0401412813 | VA | Yes |

## Other

- **Enumeration date:** 02/24/2011
- **Last updated:** 02/24/2011