RYAN JOHN THEOBALD

MUSTANG, OK
NPI1508154634
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: OK  6302)
Enumeration Date2011-07-11
Last Update Date2011-07-11
Business Address
Dr. RYAN JOHN THEOBALD D.D.S.
1041 E HWY 152
MUSTANG, OK 73064-5117
Phone number: 405-518-4011
Mailing Address
Dr. RYAN JOHN THEOBALD D.D.S.
1041 E HWY 152
MUSTANG, OK 73064-5117
Phone number: