JOHN P THEOBALD

MIDWEST CITY, OK
NPI1952358616
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: OK  4270)
Enumeration Date2006-05-28
Last Update Date2007-07-08
Business Address
DR. JOHN P THEOBALD D.D.S.
1200 S AIR DEPOT BLVD I
MIDWEST CITY, OK 73110-4848
Phone number: 405-733-8136
Mailing Address
DR. JOHN P THEOBALD D.D.S.
10140 SE 55TH ST
OKLAHOMA CITY, OK 73150-4531
Phone number: 405-733-4154
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