MEDICARE: MAGAR AND SHARIFIAN DENTAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1962780007
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAGAR AND SHARIFIAN DENTAL CORPORATION

Provider Business Mailing Address
First Line	:	2860 MICHELLE FL 2
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92606-1008
Country	:	US
Telephone Number	:	714-368-2077
Fax Number	:	714-368-2092

Provider Business Practice Location Address
First Line	:	9842 ADAMS AVE STE 106
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92646-4827
Country	:	US
Telephone Number	:	714-968-4907
Fax Number	:	714-968-6260

Authorized Official
Title or Position	:	OWNER DOCTOR
Name	:	DR. ALEX SHARIFIAN
Credential	:	DDS
Telephone Number	:	714-968-4907

Provider Enumeration Date	:	07/22/2011
Last Update Date	:	07/22/2011

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