LAKERIDGESMILES

WOODBRIDGE, VA
NPI1528713518
Entity TypeOrganization
Authorized ContactMALIKA KOHLI
Owner/Dentist
703-901-7015
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2022-02-17
Last Update Date2022-02-17
Business Address
LAKERIDGESMILES
12506 LAKE RIDGE DR STE B
WOODBRIDGE, VA 22192-2397
Phone number: 703-901-7015
Mailing Address
LAKERIDGESMILES
12506 LAKE RIDGE DR STE B
WOODBRIDGE, VA 22192-2397
Phone number: 703-901-7015
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