| Lanctot And Johnson Dental Associates Pc | |
|
11359 Sunset Hills Rd Suite A Reston VA 20190-5275 | |
| (703) 437-6666 | |
| (703) 435-8281 |
| Full Name | Lanctot And Johnson Dental Associates Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11359 Sunset Hills Rd, Reston, Virginia |
| Authorized Official Name and Position | Horace Philip Johnson (PRESIDENT) |
| Authorized Official Contact | 7034376666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lanctot And Johnson Dental Associates Pc 11359 Sunset Hills Drive Suite A Rerston VA 20190 Ph: (703) 437-6666 | Lanctot And Johnson Dental Associates Pc 11359 Sunset Hills Rd Suite A Reston VA 20190-5275 Ph: (703) 437-6666 |
| NPI Number | 1356783583 |
|---|---|
| Provider Enumeration Date | 07/30/2013 |
| Last Update Date | 07/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356783583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401006144 (Virginia) | Primary |
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