GREGORY WADE JOHNSON

COWETA, OK
NPI1568671873
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OK  3650)
Enumeration Date2007-05-22
Last Update Date2007-07-08
Business Address
Dr. GREGORY WADE JOHNSON D.D.S
129 S BROADWAY
COWETA, OK 74429-4101
Phone number: 918-279-8880
Mailing Address
Dr. GREGORY WADE JOHNSON D.D.S
129 S BROADWAY
COWETA, OK 74429-4101
Phone number: 918-279-8880
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