Individual
DR. JOHN BERTRUM JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4715 E 91ST ST, 110, TULSA, OK 74137-2840
(918) 744-1255
(918) 744-1259
Mailing address
4715 E 91ST ST, 110, TULSA, OK 74137-2840
(918) 744-1255
(918) 744-1259
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4522
OK
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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