Organization
ASHBURNFARM DENTAL ARTS
Active
Organization
ASHBURNFARM DENTAL ARTS
Active
Parent organization
LANDMARK SMILE DDS PC
Other names
landmark smile dds pc
Organization subpart
Yes
Provider details
NPI number
Legal business name
LANDMARK SMILE DDS PC
Authorized official
DR. DAN D ASHOURIPOUR DDS (PRESIDENT)
(703) 625-6800
Entity
Organization
Contact information
Practice address
43330 JUNCTION PLAZA SUITE 122, ASHBURN, VA 20147
(703) 729-7900
Mailing address
43330 JUNCTION PLZ STE 122, ASHBURN, VA 20147-3407
(703) 729-7900
Taxonomy
Speciality
Code
Description
License number
State
125K00000X
Advanced Practice Dental Therapist
Primary
7312
VA
Other
Enumeration date
08/31/2014
Last updated
08/31/2014
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