JACK EDWARD WILLOUGHBY

EDMOND, OK
NPI1487666467
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OK  4150)
Enumeration Date2006-08-11
Last Update Date2007-07-08
Business Address
Dr. JACK EDWARD WILLOUGHBY D.D.S.
1222 S KELLY AVE
EDMOND, OK 73003-5855
Phone number: 405-341-8518
Mailing Address
Dr. JACK EDWARD WILLOUGHBY D.D.S.
1222 S KELLY AVE
EDMOND, OK 73003-5855
Phone number: 405-341-8518