Organization
LAKE BARCROFT DENTAL GROUP, PC
Active
Other names
Lake Barcroft Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX R SHARIFIAN DDS (OWNER)
(703) 876-6700
Entity
Organization
Contact information
Practice address
6464 A1 LINCOLNIA RD, ALEXANDRIA, VA 22312
(703) 876-6700
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/02/2019
Last updated
10/15/2019
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