Organization
MONCKS CORNER DENTAL GROUP, PC
Active
Other names
Moncks Corner Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX SHARIFIAN DDS (OWNER)
(843) 990-4715
Entity
Organization
Contact information
Practice address
2830 HIGHWAY 52 SUITE 360, MONCKS CORNER, SC 29461
(843) 990-4715
(843) 996-1812
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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