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Organization
LAKE BARCROFT DENTAL GROUP, PC
Active
Organization
LAKE BARCROFT DENTAL GROUP, PC
Active
Other names
Lake Barcroft Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX R SHARIFIAN DDS (OWNER)
(703) 876-6700
Entity
Organization
Contact information
Practice address
6464 A1 LINCOLNIA RD, ALEXANDRIA, VA 22312
(703) 876-6700
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/02/2019
Last updated
10/15/2019
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