Lake Ridge Dental Care
NPI #1295151579 in Woodbridge, Virginia
Provider Information
- NPI Number
- 1295151579
- Entity Type
- Organization
- Organization Name
- Lake Ridge Dental Care
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 11, 2014
- Last Updated
- Mar 11, 2014
Practice Location
- Address
- 13625 OFFICE PL STE 102
- City
- Woodbridge
- State
- Virginia
- ZIP Code
- 22192-4270
- Phone
- (703) 670-7071
Authorized Official
- Name
- DR. KIUMARS KARBASI, DDS
- Title
- OWNER
- Phone
- (571) 335-6194
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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