Organization · Type 2 NPI

Lake Ridge Endodontics

Endodontics · Woodbridge, VA

NPI number 1205933405 Active

Practice location

12510 C Lake Ridge Dr
Woodbridge, VA 22192-2335

Fax (703) 497-1258

Mailing address

12510 Lake Ridge Dr Ste C
Lake Ridge, VA 22192-7501

Specialties and licenses

TaxonomyCodeLicense
Endodontics Primary 1223E0200X041007464 (VA)

Endodontics: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

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About NPI 1205933405

Lake Ridge Endodontics's National Provider Identifier is 1205933405, issued on Sep 20, 2006. The primary taxonomy on file is Endodontics (1223E0200X), and the practice location is in Woodbridge, VA. The record was last updated on Jul 9, 2008.