# ONE LOUDOUN DENTAL LLC

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

## Provider details

- **NPI number:** 1952872285
- **Authorized official:** DARIUOSH ASHOURIPOUR DDS (PRESIDENT)
- **Authorized official phone:** (703) 625-6800

## Contact information

- **Practice address:** 44790 MAYNARD SQ STE 180, ASHBURN, VA 20147-6515
- **Practice address phone:** (703) 729-7900
- **Practice address fax:** (703) 729-3085
- **Mailing address:** 44790 MAYNARD SQ STE 180, ASHBURN, VA 20147-6515
- **Mailing address phone:** (703) 729-7900
- **Mailing address fax:** (703) 729-3085

## Taxonomy

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

## Other

- **Enumeration date:** 12/16/2018
- **Last updated:** 12/16/2018