| South Riding Modern Dentistry, Pc | |
|
25421 Lizzio Center Dr. Suite 190 Chantilly VA 20152 | |
| (703) 543-3724 | |
| Not Available |
| Full Name | South Riding Modern Dentistry, Pc |
|---|---|
| Speciality | Dentist |
| Location | 25421 Lizzio Center Dr., Chantilly, Virginia |
| Authorized Official Name and Position | Alex R Sharifian (OWNER/DDS) |
| Authorized Official Contact | 7035439724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Riding Modern Dentistry, Pc 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8500 | South Riding Modern Dentistry, Pc 25421 Lizzio Center Dr. Suite 190 Chantilly VA 20152 Ph: (703) 543-3724 |
| NPI Number | 1982178620 |
|---|---|
| Provider Enumeration Date | 01/16/2019 |
| Last Update Date | 01/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982178620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Dr. Tarek Ashmawy Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5136 Leesburg Pike, Chantilly, VA 22302 Phone: 646-250-6333 | |
Chantilly Modern Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14337 Newbrook Dr., Suite 200, Chantilly, VA 20151 Phone: 703-214-2113 | |
Claudio Urquiaga Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13948 Lee Jackson Memorial Hwy, Chantilly, VA 20151 Phone: 703-378-5010 | |
Mark A Grimes Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4437 Brookfield Corporate Drive, #107, Chantilly, VA 20151 Phone: 703-222-5400 Fax: 703-222-0470 | |
Chantilly Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3901 Centerview Dr, Suite #t, Chantilly, VA 20151 Phone: 703-467-0214 Fax: 703-467-0568 | |
Diamond Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13948 Lee Jackson Memorial Hwy, Chantilly, VA 20151 Phone: 703-773-1212 Fax: 703-773-1214 | |
Fontes Lee Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4229 Lafayette Center Dr Ste 1400, Chantilly, VA 20151 Phone: 703-378-2000 |