Individual
DR. EUGENIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4416 W HOUSTON ST, BROKEN ARROW, OK 74012-4645
(918) 615-3600
(918) 615-3601
Mailing address
4416 W HOUSTON ST, BROKEN ARROW, OK 74012-4645
(918) 615-3600
(918) 615-6301
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
50
OK
Other
Enumeration date
07/23/2009
Last updated
07/23/2009
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