One Loudoun Dental LLC

NPI #1952872285 in Ashburn, Virginia

Provider Information

NPI Number: 1952872285
Entity Type: Organization
Organization Name: One Loudoun Dental LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Dec 16, 2018
Last Updated: Dec 16, 2018

Practice Location

Address: 44790 MAYNARD SQ STE 180
City: Ashburn
State: Virginia
ZIP Code: 20147-6515
Phone: (703) 729-7900

Authorized Official

Name: DARIUOSH ASHOURIPOUR, DDS
Title: PRESIDENT
Phone: (703) 625-6800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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