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Organization

DAMON R. JOHNSON, DDS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAMON ROBERT JOHNSON D.D.S. (OWNER)
(405) 348-6161
Entity
Organization

Contact information

Practice address
1400 W. COVELL ROAD, EDMOND, OK 73003-3504
(405) 348-6161
(405) 330-2032
Mailing address
1400 W. COVELL ROAD, EDMOND, OK 73003-3504
(405) 348-6161
(405) 330-2032

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5114
OK

Other

Enumeration date
02/19/2009
Last updated
02/19/2009
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