| Johnson And Knox Dentcare Associates | |
|
9547a Fairfax Blvd Fairfax VA 22031-4740 | |
| (571) 354-0849 | |
| Not Available |
| Full Name | Johnson And Knox Dentcare Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9547a Fairfax Blvd, Fairfax, Virginia |
| Authorized Official Name and Position | Rasheeda Johnson (OWNER) |
| Authorized Official Contact | 5163044717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnson And Knox Dentcare Associates 5628 Woodyard Rd Upper Marlboro MD 20772-3880 Ph: (708) 645-6311 | Johnson And Knox Dentcare Associates 9547a Fairfax Blvd Fairfax VA 22031-4740 Ph: (571) 354-0849 |
| NPI Number | 1154987360 |
|---|---|
| Provider Enumeration Date | 05/13/2019 |
| Last Update Date | 05/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154987360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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