Lina A. Johnson Dds Pc | |
6505 Sydenstricker Rd Ste B Burke VA 22015-4282 | |
(703) 440-0100 | |
Not Available |
Full Name | Lina A. Johnson Dds Pc |
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Speciality | Clinic/center - Dental |
Location | 6505 Sydenstricker Rd Ste B, Burke, Virginia |
Authorized Official Name and Position | Lina Ann Johnson (PRESIDENT) |
Authorized Official Contact | 7034400100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lina A. Johnson Dds Pc 6505 Sydenstricker Rd Ste B Burke VA 22015-4282 Ph: (703) 440-0100 | Lina A. Johnson Dds Pc 6505 Sydenstricker Rd Ste B Burke VA 22015-4282 Ph: (703) 440-0100 |
NPI Number | 1972794543 |
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Provider Enumeration Date | 08/07/2007 |
Last Update Date | 08/07/2007 |
Identifier | Type | State | Issuer |
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1972794543 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 0401005983 (Virginia) | Primary |
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