# CRANIOFACIAL PAIN AND DENTAL SLEEP CENTER OF VIRGINIA PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326596297
- **Authorized official:** BONNIE GENE FOSTER DDS (DENTIST OWNER)
- **Authorized official phone:** (540) 351-0170

## Contact information

- **Practice address:** 410 ROSEDALE CT, STE 170, WARRENTON, VA 20186-4329
- **Practice address phone:** (540) 351-0170
- **Practice address fax:** (877) 262-7725
- **Mailing address:** 410 ROSEDALE CT, STE 170, WARRENTON, VA 20186-4329
- **Mailing address phone:** (540) 351-0170
- **Mailing address fax:** (877) 262-7725

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/20/2016
- **Last updated:** 01/16/2024