| NPI | 1982178620 |
|---|---|
| Doing Business As | SOUTH RIDING MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ALEX R SHARIFIAN Owner/Dds 703-543-9724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-01-16 |