Lake Ridge Endodontics

NPI 1205933405 - Dentist - 1223E0200X

NPI Details
NPI 1205933405
Enumeration Date 09/20/2006
Last Updated 07/09/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TODD E TODD
Position OWNER/ENDODOTONTIST
Phone (703) 494-8624
Fax (703) 497-1258
Practice Location
12510 C LAKE RIDGE DR
WOODBRIDGE VA, 22192-2335, US
Phone (703) 494-8624
Fax (703) 497-1258
Business Location
12510 LAKE RIDGE DR STE C
LAKE RIDGE VA, 22192-7501, US
Phone (703) 494-8624
Fax (703) 497-1258
Toxanomy
Taxonomy Code 1223E0200X
License State Virginia
License Number 041007464
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According to our database, Lake Ridge Endodontics NPI is 1205933405, taxonomy code is 1223E0200X and license number is 041007464, license state is located at Virginia. Lake Ridge Endodontics physically located at 12510 C Lake Ridge Dr, Woodbridge VA, 22192-2335. NPI Number 1033115704 has the healthcare provider type.

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1205933405 NPI number is provided on an as is basis without warranty of any kind. 1205933405 is maintained by the National Plan & Provider Enumeration System. The contents of Lake Ridge Endodontics are for informational purposes only.