Individual
DR. SUSAN DEANA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
620 JOHN PAUL JONES CIR, NAVAL MEDICAL CENTER PORTSMOUTH, PORTSMOUTH, VA 23708-2111
(757) 953-5000
Mailing address
3994 NORTON PL, FAIRFAX, VA 22030-3734
(757) 339-2950
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D11173
MN
Other
Enumeration date
02/04/2006
Last updated
01/19/2023
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