| Suite Tooth Pediatrics | |
|
1229 Garrisonville Rd Stafford VA 22556-3655 | |
| (716) 860-4238 | |
| Not Available |
| Full Name | Suite Tooth Pediatrics |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1229 Garrisonville Rd, Stafford, Virginia |
| Authorized Official Name and Position | Ashlee Thomas Kato (OWNER, PEDIATRIC DENTIST) |
| Authorized Official Contact | 7168604238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suite Tooth Pediatrics 8324 Middle Ruddings Dr Lorton VA 22079-2781 Ph: (716) 860-4238 | Suite Tooth Pediatrics 1229 Garrisonville Rd Stafford VA 22556-3655 Ph: (716) 860-4238 |
| NPI Number | 1164260360 |
|---|---|
| Provider Enumeration Date | 07/20/2024 |
| Last Update Date | 07/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164260360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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