| One Loudoun Dental Llc | |
|
44790 Maynard Sq Ste 180 Ashburn VA 20147-6515 | |
| (703) 729-7900 | |
| (703) 729-3085 |
| Full Name | One Loudoun Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 44790 Maynard Sq Ste 180, Ashburn, Virginia |
| Authorized Official Name and Position | Dariuosh Ashouripour (PRESIDENT) |
| Authorized Official Contact | 7036256800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| One Loudoun Dental Llc 44790 Maynard Sq Ste 180 Ashburn VA 20147-6515 Ph: (703) 729-7900 | One Loudoun Dental Llc 44790 Maynard Sq Ste 180 Ashburn VA 20147-6515 Ph: (703) 729-7900 |
| NPI Number | 1952872285 |
|---|---|
| Provider Enumeration Date | 12/16/2018 |
| Last Update Date | 12/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952872285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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