Custom Dental of Yukon, Pllc
NPI #1164049185 in Yukon, Oklahoma
Provider Information
- NPI Number
- 1164049185
- Entity Type
- Organization
- Organization Name
- Custom Dental of Yukon, Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 26, 2020
- Last Updated
- Jun 26, 2020
Practice Location
Authorized Official
- Name
- DR. KATELYN JOHNSON, DDS
- Title
- OWNER-DOCTOR
- Phone
- (918) 839-9088
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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