NPI | 1639710429 |
---|---|
Doing Business As | LAKE BARCROFT DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | ALEX R SHARIFIAN Owner 703-876-6700 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2019-10-02 |
Last Update Date | 2019-10-15 |