Individual
DR. FADI SALEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
12662 LAKE RIDGE DR A, LAKE RIDGE, VA 22192-7507
(703) 491-5166
Mailing address
12662 LAKE RIDGE DR STE A, LAKE RIDGE, VA 22192-7507
(703) 491-5166
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401412669
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
7018
AZ
Other
Enumeration date
01/03/2007
Last updated
02/21/2022
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