| Lina A. Johnson DDS PC | |
|
6505 Sydenstricker Rd Ste B Burke VA 22015-4282 | |
| (703) 440-0100 | |
| Not Available |
| Full Name | Lina A. Johnson DDS PC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6505 Sydenstricker Rd Ste B, Burke, Virginia |
| Authorized Official Name and Position | Lina Ann Johnson (PRESIDENT) |
| Authorized Official Contact | 7034400100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lina A. Johnson DDS PC 6505 Sydenstricker Rd Ste B Burke VA 22015-4282 Ph: (703) 440-0100 | Lina A. Johnson DDS PC 6505 Sydenstricker Rd Ste B Burke VA 22015-4282 Ph: (703) 440-0100 |
| NPI Number | 1972794543 |
|---|---|
| Provider Enumeration Date | 08/07/2007 |
| Last Update Date | 08/07/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972794543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401005983 (Virginia) | Primary |
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