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1992857510
STEPHEN P JOHANSEN
RICHMOND, VA
NPI
1992857510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: VA 0401005877)
Enumeration Date
2007-01-16
Last Update Date
2007-07-08
Business Address
-- STEPHEN P JOHANSEN DDS
6441 IRONBRIDGE ROAD
RICHMOND, VA 23113
Phone number: 804-743-8166
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Mailing Address
-- STEPHEN P JOHANSEN DDS
1612 HUGUENOT ROAD
MIDLOTHIAN, VA 23113
Phone number: 804-794-9789
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