Organization
SOUTH RIDING MODERN DENTISTRY, PC
Active
Other names
South Riding Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX R SHARIFIAN DDS (OWNER/DDS)
(703) 543-9724
Entity
Organization
Contact information
Practice address
25421 LIZZIO CENTER DR., SUITE 190, CHANTILLY, VA 20152
(703) 543-3724
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8500
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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