| Dentists Of Ofallon Pllc | |
|
1124 Merchants Way Ste 200 O Fallon IL 62269-3603 | |
| (618) 515-4929 | |
| Not Available |
| Full Name | Dentists Of Ofallon Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1124 Merchants Way Ste 200, O Fallon, Illinois |
| Authorized Official Name and Position | Alex Sharifian (OWNER) |
| Authorized Official Contact | 7148458500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentists Of Ofallon Pllc Po Box 920050 Dallas TX 75392-0050 Ph: () - | Dentists Of Ofallon Pllc 1124 Merchants Way Ste 200 O Fallon IL 62269-3603 Ph: (618) 515-4929 |
| NPI Number | 1215672753 |
|---|---|
| Provider Enumeration Date | 04/29/2022 |
| Last Update Date | 04/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215672753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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