Individual
JOHNNY GORDON ROBY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4301 NW 63RD ST, SUITE 300, OKLAHOMA CITY, OK 73116-1549
(405) 879-0000
(405) 879-0656
Mailing address
4301 NW 63RD ST, SUITE 300, OKLAHOMA CITY, OK 73116-1549
(405) 879-0000
(405) 879-0656
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4383
OK
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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