| Herndon Modern Dentistry | |
|
2537 John Milton Dr. Reston VA 20171 | |
| (703) 259-8477 | |
| Not Available |
| Full Name | Herndon Modern Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 2537 John Milton Dr., Reston, Virginia |
| Authorized Official Name and Position | Alex R Sharifian (OWNER/DDS) |
| Authorized Official Contact | 7032598477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Herndon Modern Dentistry Po Box 920050 Dallas TX 75392-0050 | Herndon Modern Dentistry 2537 John Milton Dr. Reston VA 20171 Ph: (703) 259-8477 |
| NPI Number | 1417587312 |
|---|---|
| Provider Enumeration Date | 01/20/2020 |
| Last Update Date | 08/05/2022 |
| Certification Date | 08/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417587312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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