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Individual

DR. JOHN ALBERT STREIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
400 FAIRVIEW AVE STE 3, PONCA CITY, OK 74601-1910
(580) 762-2503
Mailing address
400 FAIRVIEW AVE STE 3, PONCA CITY, OK 74601-1910
(580) 762-2503

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
4605
AZ
1223G0001X
General Practice Dentistry
Primary
4727
OK

Other

Enumeration date
05/08/2007
Last updated
03/17/2018
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