Organization
HERNDON MODERN DENTISTRY, PC
Active
Other names
Herndon Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX R SHARIFIAN DDS (OWNER/DDS)
(703) 259-8477
Entity
Organization
Contact information
Practice address
2537 JOHN MILTON DR., RESTON, VA 20171
(703) 259-8477
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/20/2020
Last updated
08/05/2022
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