Bristow Fountain Dentistry, PC

NPI #1447818919 in Bristow, Virginia

Provider Information

NPI Number
1447818919
Entity Type
Organization
Organization Name
Bristow Fountain Dentistry, PC
Primary Specialty
Dentist
Enumeration Date
May 30, 2019
Last Updated
May 30, 2019

Practice Location

Address
10283 BRISTOW CENTER DR
ZIP Code
20136-2240
Phone
(703) 565-2920

Authorized Official

Name
DR. ALEX R SHARIFIAN, DDS
Title
OWNER/GENERAL DENTIST
Phone
(703) 565-2920

Specialties & Taxonomy Codes

Specialty
Dentist

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