Organization
LANCTOT AND JOHNSON DENTAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HORACE PHILIP JOHNSON III DDS (PRESIDENT)
(703) 437-6666
Entity
Organization
Contact information
Practice address
11359 SUNSET HILLS RD, SUITE A, RESTON, VA 20190-5275
(703) 437-6666
(703) 435-8281
Mailing address
11359 SUNSET HILLS DRIVE, SUITE A, RERSTON, VA 20190
(703) 437-6666
(703) 435-8281
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401006144
VA
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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