Individual
DR. DONALD TODD JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6132 E 61ST ST, TULSA, OK 74136-2117
(918) 494-8634
(918) 494-8636
Mailing address
3911 EAST 104TH ST. SO., TULSA, OK 74137
(918) 299-3955
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5019
OK
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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