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Organization

LAKE RIDGE ORTHODONTICS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FADI F SALEH DDS, MS (DOCTOR OWNER)
(703) 491-5166
Entity
Organization

Contact information

Practice address
2080 OLD BRIDGE RD, STE 103, WOODBRIDGE, VA 22192
(703) 491-5166
(703) 494-4853
Mailing address
2080 OLD BRIDGE RD, STE 103, WOODBRIDGE, VA 22192
(703) 491-5166
(703) 494-4853

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401412669
VA

Other

Enumeration date
12/27/2010
Last updated
08/04/2026
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