| NPI | 1013405950 |
|---|---|
| Doing Business As | CHANTILLY MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ALEX R SHARIFIAN Owner/Dds 703-214-2113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2022-08-05 |