Chantilly Modern Dentistry, PC

NPI #1013405950 in Chantilly, Virginia

Provider Information

NPI Number: 1013405950
Entity Type: Organization
Organization Name: Chantilly Modern Dentistry, PC
Primary Specialty: Dentist
Enumeration Date: Apr 26, 2018
Last Updated: Aug 5, 2022

Practice Location

Address: 14337 NEWBROOK DR.
Address 2: SUITE 200
City: Chantilly
State: Virginia
ZIP Code: 20151
Phone: (703) 214-2113

Authorized Official

Name: DR. ALEX R SHARIFIAN, DDS
Title: OWNER/DDS
Phone: (703) 214-2113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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