Individual
DR. DAMON ROBERT JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1400 W. COVELL ROAD, EDMOND, OK 73003-3504
(405) 348-6161
(405) 330-2032
Mailing address
1400 E 9TH ST, EDMOND, OK 73034-5701
(405) 348-6161
(405) 330-2032
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5114
OK
Other
Enumeration date
02/22/2007
Last updated
02/18/2009
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