Lake Ridge Pediatric Dentistry Pllc
NPI #1558224378 in Woodbridge, Virginia
Provider Information
- NPI Number
- 1558224378
- Entity Type
- Organization
- Organization Name
- Lake Ridge Pediatric Dentistry Pllc
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Dec 8, 2025
- Last Updated
- Dec 8, 2025
Practice Location
- Address
- 2080 OLD BRIDGE RD STE 101
- City
- Woodbridge
- State
- Virginia
- ZIP Code
- 22192-2491
- Phone
- (571) 398-0672
Authorized Official
- Name
- FADI SALEH, DDS
- Title
- OWNER
- Phone
- (571) 398-0672
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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