Awesome Kids Dental Pllc

NPI #1194277715 in Haymarket, Virginia

Provider Information

NPI Number: 1194277715
Entity Type: Organization
Organization Name: Awesome Kids Dental Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 31, 2016
Last Updated: Oct 31, 2016

Practice Location

Address: 6468 TRADING SQ
City: Haymarket
State: Virginia
ZIP Code: 20169-2277
Phone: (571) 261-2600

Authorized Official

Name: DR. TONTRA LOWE, DDS
Title: MANAGER/DENTIST
Phone: (571) 261-2600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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