Individual
ROBERT BYRON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
10640 MAIN ST, #300, FAIRFAX, VA 22030-3821
(703) 246-9355
Mailing address
47424 MIDDLE BLUFF PL, STERLING, VA 20165-3101
(703) 421-8665
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401007027
VA
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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