Lake Ridge Dental Clinic is a Dental Clinic in Lake Ridge, Virginia. It is located at 12724 Directors Loop, Lake Ridge, VA and its contact number is 703-494-9171. The authorized person for Lake Ridge Dental Clinic is Dr. Mina T Mostofi
who is Dentist of the clinic and their contact number is 703-494-9171. The primary license number for Lake Ridge Dental Clinic is 0401007810 (General Practice) in Virginia. Lake Ridge Dental Clinic Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Lake Ridge Dental Clinic Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Lake Ridge Dental Clinic
Specialization:
General Practice Dentistry
Clinic Address:
12724 Directors Loop, Lake Ridge, Virginia, 22192-2462
Phone:
703-494-9171
Fax:
703-490-4066
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Mina T Mostofi
Position:
Dentist
Contact Number:
703-494-9171
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Lake Ridge Dental Clinic clinic are as mentioned below.
NPI Number:
1558483305
NPI Enumeration Date:
04 Apr, 2007
NPI Last Update On:
23 Jun, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lake Ridge Dental Clinic are as mentioned below.
Specialization
License Number
State
Status
General Practice
0401007810
Virginia
Primary
Periodontics
0401008961
Virginia
Secondary
Orthodontics and Dentofacial Orthopedics
0401410790
Virginia
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Lake Ridge Dental Clinic 12724 Directors Loop, Lake Ridge, Virginia
Zip:
22192-2462
Phone Number:
703-494-9171
Fax Number:
703-490-4066
Patients can reach Lake Ridge Dental Clinic at 12724 Directors Loop, Lake Ridge, Virginia or can call to book an appointment on 703-494-9171. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.