Individual
DR. STEVEN ROBERT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4322 RAVENSWORTH RD, ANNANDALE, VA 22003-5630
(703) 256-5870
(703) 913-9736
Mailing address
4322 RAVENSWORTH RD, ANNANDALE, VA 22003-5630
(703) 256-5870
(703) 913-9736
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401006543
VA
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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