Organization
ALEX SHARIFIAN DDS OFALLON MODERN DENTISTRY PC
Active
Other names
O'Fallon Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX R SHARIFIAN DDS (OWNER)
(636) 379-7552
Entity
Organization
Contact information
Practice address
3009 HIGHWAY K, O'FALLON, MO 63368
(636) 379-7552
(636) 379-7553
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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