# ASHBURN DENTAL STUDIO PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Ashburn Dental Studio
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881182814
- **Authorized official:** SAHIRA KORTAM DDS MS (DENTIST)
- **Authorized official phone:** (347) 761-7199

## Contact information

- **Practice address:** 43480 YUKON DR STE 204, ASHBURN, VA 20147-6988
- **Practice address phone:** (703) 729-8277
- **Mailing address:** 43480 YUKON DR STE 204, ASHBURN, VA 20147-6988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/25/2018
- **Last updated:** 12/19/2018