Fairfax Modern Dentistry, Pc Dental Clinic

Get detailed information about Fairfax Modern Dentistry, Pc dental clinic in Irvine California.
Fairfax Modern Dentistry, Pc (FAIRFAX MODERN DENTISTRY, PC) is a Dental Clinic in Fairfax, Virginia. Dental care clinics provide dental treatment and oral care to patients of all ages. The NPI Number for Fairfax Modern Dentistry, Pc is 1174011191.

The current location address for Fairfax Modern Dentistry, Pc is 11050 Lee Hwy, , Fairfax, Virginia and the contact number is 703-520-6376 and fax number is --. The mailing address for Fairfax Modern Dentistry, Pc is 17000 Red Hill Ave, , Irvine, California - 92614-5626 (mailing address contact number - 714-845-8280).


Provider Profile Details:
Clinic NameFairfax Modern Dentistry, Pc
Provider OrganizationFAIRFAX MODERN DENTISTRY, PC
Address11050 Lee Hwy, ,
Fairfax
Virginia, 22030-5014
Phone Number703-520-6376
Fax Number--
Authorized Official NameAli Shahrestani
Authorized Official Title/PositionOwner/dmd
Authorized Official Contact Number703-520-6376
NPI Number Details:
NPI Number1174011191
Provider Enumeration Date04/25/2018
Last Update Date01/04/2021
Provider Business Mailing Address Details:
Address17000 Red Hill Ave,
CityIrvine
StateCalifornia
Zip92614-5626
Phone Number714-845-8280
Fax Number303-952-0892
Provider's Primary Taxonomy Details:
TypeDental Providers
SpecialityDentist
Taxonomy122300000X

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