# KIDZ CORNER DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WARRENTON DENTAL CENTER PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1154733178
- **Legal business name:** WARRENTON DENTAL CENTER PLLC
- **Authorized official:** DR. BONNIE DULANEY FOSTER DDS (CLINICAL DIRECTOR)
- **Authorized official phone:** (540) 351-0170

## Contact information

- **Practice address:** 410 ROSEDALE CT, SUITE 170, WARRENTON, VA 20186-4329
- **Practice address phone:** (540) 351-0170
- **Practice address fax:** (540) 351-0831
- **Mailing address:** 410 ROSEDALE CT, SUITE 170, WARRENTON, VA 20186-4329
- **Mailing address phone:** (540) 351-0170
- **Mailing address fax:** (540) 351-0831

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/26/2014
- **Last updated:** 05/26/2014