| NPI | 1619216959 |
|---|---|
| Doing Business As | AWESOME SMILES DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | TONTRA LOWE Owner/Manager 571-331-8949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401411583) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2013-02-06 |