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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

Other

Enumeration date
04/25/2018
Last updated
12/19/2018
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