Organization
DENTISTS OF OFALLON PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX SHARIFIAN (OWNER)
(714) 845-8500
Entity
Organization
Contact information
Practice address
1124 MERCHANTS WAY STE 200, O FALLON, IL 62269-3603
(618) 515-4929
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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