Organization
ONE LOUDOUN DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARIUOSH ASHOURIPOUR DDS (PRESIDENT)
(703) 625-6800
Entity
Organization
Contact information
Practice address
44790 MAYNARD SQ STE 180, ASHBURN, VA 20147-6515
(703) 729-7900
(703) 729-3085
Mailing address
44790 MAYNARD SQ STE 180, ASHBURN, VA 20147-6515
(703) 729-7900
(703) 729-3085
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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