Kidz Corner Dental Pllc

NPI #1154733178 in Warrenton, Virginia

Provider Information

NPI Number: 1154733178
Entity Type: Organization
Organization Name: Kidz Corner Dental Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: WARRENTON DENTAL CENTER PLLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: May 26, 2014
Last Updated: May 26, 2014

Practice Location

Address: 410 ROSEDALE CT
Address 2: SUITE 170
City: Warrenton
State: Virginia
ZIP Code: 20186-4329
Phone: (540) 351-0170

Authorized Official

Name: DR. BONNIE DULANEY FOSTER, DDS
Title: CLINICAL DIRECTOR
Phone: (540) 351-0170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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