# LAKE BARCROFT DENTAL GROUP, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lake Barcroft Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639710429
- **Authorized official:** DR. ALEX R SHARIFIAN DDS (OWNER)
- **Authorized official phone:** (703) 876-6700

## Contact information

- **Practice address:** 6464 A1 LINCOLNIA RD, ALEXANDRIA, VA 22312
- **Practice address phone:** (703) 876-6700
- **Mailing address:** 17000 RED HILL AVE, IRVINE, CA 92614-5626
- **Mailing address phone:** (714) 845-8890
- **Mailing address fax:** (303) 952-0892

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 10/02/2019
- **Last updated:** 10/15/2019