| NPI | 1447818919 |
|---|---|
| Doing Business As | BRISTOW FOUNTAIN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ALEX R SHARIFIAN Owner/General Dentist 703-565-2920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-05-30 |