Awesome Smiles Dental Center | |
338 Hidden Creek Ln Warrenton VA 20186-4330 | |
(571) 331-8949 | |
(571) 331-8949 |
Full Name | Awesome Smiles Dental Center |
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Speciality | Dentist - General Practice |
Location | 338 Hidden Creek Ln, Warrenton, Virginia |
Authorized Official Name and Position | Tontra Lowe (OWNER/MANAGER) |
Authorized Official Contact | 5713318949 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Awesome Smiles Dental Center 6468 Trading Sq Haymarket VA 20169-2277 Ph: (571) 331-8949 | Awesome Smiles Dental Center 338 Hidden Creek Ln Warrenton VA 20186-4330 Ph: (571) 331-8949 |
NPI Number | 1619216959 |
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Provider Enumeration Date | 02/06/2013 |
Last Update Date | 02/06/2013 |
Identifier | Type | State | Issuer |
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1619216959 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 0401411583 (Virginia) | Primary |
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