| Bristow Fountain Dentistry, Pc | |
|
10283 Bristow Center Dr Bristow VA 20136-2240 | |
| (703) 565-2920 | |
| Not Available |
| Full Name | Bristow Fountain Dentistry, Pc |
|---|---|
| Speciality | Dentist |
| Location | 10283 Bristow Center Dr, Bristow, Virginia |
| Authorized Official Name and Position | Alex R Sharifian (OWNER/GENERAL DENTIST) |
| Authorized Official Contact | 7035652920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bristow Fountain Dentistry, Pc 17000 Red Hill Ave Irvine CA 92614-5626 Ph: () - | Bristow Fountain Dentistry, Pc 10283 Bristow Center Dr Bristow VA 20136-2240 Ph: (703) 565-2920 |
| NPI Number | 1447818919 |
|---|---|
| Provider Enumeration Date | 05/30/2019 |
| Last Update Date | 05/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447818919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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