| NPI | 1538308259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMON ROBERT JOHNSON Owner 405-348-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5114) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2009-02-19 |