SID L JOHNSON

MUSTANG, OK
NPI1184609521
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OK  5719)
Enumeration Date2005-12-08
Last Update Date2007-07-08
Business Address
Dr. SID L JOHNSON DDS
210 N MUSTANG RD
MUSTANG, OK 73064-3911
Phone number: 405-256-0500
Mailing Address
Dr. SID L JOHNSON DDS
210 N MUSTANG RD
MUSTANG, OK 73064-3911
Phone number: 405-256-0500
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