Organization
LAKE RIDGE PEDIATRIC DENTISTRY PLLC
Active
Other names
Lake Ridge Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
FADI SALEH DDS (OWNER)
(571) 398-0672
Entity
Organization
Contact information
Practice address
2080 OLD BRIDGE RD STE 101, WOODBRIDGE, VA 22192-2491
(571) 398-0672
Mailing address
2080 OLD BRIDGE RD STE 101, WOODBRIDGE, VA 22192-2491
(571) 398-0672
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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