| Ashburn Orthodontics | |
|
44345 Premier Plz Suite 140 Ashburn VA 20147-5053 | |
| (347) 761-7199 | |
| Not Available |
| Full Name | Ashburn Orthodontics |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 44345 Premier Plz, Ashburn, Virginia |
| Authorized Official Name and Position | Sahira Kortam (DR./ORTHODONTIST) |
| Authorized Official Contact | 3477617199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashburn Orthodontics 44345 Premier Plz Suite 140 Ashburn VA 20147-5053 Ph: (347) 761-7199 | Ashburn Orthodontics 44345 Premier Plz Suite 140 Ashburn VA 20147-5053 Ph: (347) 761-7199 |
| NPI Number | 1275830473 |
|---|---|
| Provider Enumeration Date | 02/24/2011 |
| Last Update Date | 02/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275830473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401412813 (Virginia) | Primary |
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