| Awesome Kids Dental Pllc | |
|
6468 Trading Sq Haymarket VA 20169-2277 | |
| (571) 261-2600 | |
| (571) 261-2699 |
| Full Name | Awesome Kids Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6468 Trading Sq, Haymarket, Virginia |
| Authorized Official Name and Position | Tontra Lowe (MANAGER/DENTIST) |
| Authorized Official Contact | 5712612600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Awesome Kids Dental Pllc 6468 Trading Sq Haymarket VA 20169-2277 Ph: (571) 261-2600 | Awesome Kids Dental Pllc 6468 Trading Sq Haymarket VA 20169-2277 Ph: (571) 261-2600 |
| NPI Number | 1194277715 |
|---|---|
| Provider Enumeration Date | 10/31/2016 |
| Last Update Date | 10/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194277715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401411583 (Virginia) | Primary |
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