Alex Sharifian DDS Ofallon Modern Dentistry PC

NPI #1407281314 in O'fallon, Missouri

Provider Information

NPI Number: 1407281314
Entity Type: Organization
Organization Name: Alex Sharifian DDS Ofallon Modern Dentistry PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 10, 2013
Last Updated: Sep 10, 2013

Practice Location

Address: 3009 HIGHWAY K
City: O'fallon
State: Missouri
ZIP Code: 63368
Phone: (636) 379-7552

Authorized Official

Name: DR. ALEX R SHARIFIAN, DDS
Title: OWNER
Phone: (636) 379-7552

Specialties & Taxonomy Codes

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

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