| NPI | 1417587312 |
|---|---|
| Doing Business As | HERNDON MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ALEX R SHARIFIAN Owner/Dds 703-259-8477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2022-08-05 |