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Organization

BRISTOW FOUNTAIN DENTISTRY, PC

Active
Other names
Bristow Fountain Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALEX R SHARIFIAN DDS (OWNER/GENERAL DENTIST)
(703) 565-2920
Entity
Organization

Contact information

Practice address
10283 BRISTOW CENTER DR, BRISTOW, VA 20136-2240
(703) 565-2920
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
05/30/2019
Last updated
05/30/2019
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