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Organization
ASHBURN DENTAL STUDIO PLLC
Active
Organization
ASHBURN DENTAL STUDIO PLLC
Active
Other names
Ashburn Dental Studio
Organization subpart
No
Provider details
NPI number
Authorized official
SAHIRA KORTAM DDS MS (DENTIST)
(347) 761-7199
Entity
Organization
Contact information
Practice address
43480 YUKON DR STE 204, ASHBURN, VA 20147-6988
(703) 729-8277
Mailing address
43480 YUKON DR STE 204, ASHBURN, VA 20147-6988
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/25/2018
Last updated
12/19/2018
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