| Steven R. Johnson, D.d.s. Pc | |
|
4322 Ravensworth Rd Annandale VA 22003-5630 | |
| (703) 256-5870 | |
| (703) 913-9736 |
| Full Name | Steven R. Johnson, D.d.s. Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4322 Ravensworth Rd, Annandale, Virginia |
| Authorized Official Name and Position | Steven Robert Johnson (PRESIDENT) |
| Authorized Official Contact | 7032565870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven R. Johnson, D.d.s. Pc 4322 Ravensworth Rd Annandale VA 22003-5630 Ph: (703) 256-5870 | Steven R. Johnson, D.d.s. Pc 4322 Ravensworth Rd Annandale VA 22003-5630 Ph: (703) 256-5870 |
| NPI Number | 1790999662 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790999662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401006543 (Virginia) | Primary |
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