Dentists of Ofallon Pllc

NPI #1215672753 in O Fallon, Illinois

Provider Information

NPI Number: 1215672753
Entity Type: Organization
Organization Name: Dentists of Ofallon Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 29, 2022
Last Updated: Apr 29, 2022

Practice Location

Address: 1124 MERCHANTS WAY STE 200
City: O Fallon
State: Illinois
ZIP Code: 62269-3603
Phone: (618) 515-4929

Authorized Official

Name: ALEX SHARIFIAN
Title: OWNER
Phone: (714) 845-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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