| 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 |