DR. Sid L Johnson, DDS

NPI #1184609521 in Mustang, Oklahoma

Provider Information

NPI Number: 1184609521
Entity Type: Individual
Name: DR. Sid L Johnson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Dec 8, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 210 N MUSTANG RD
City: Mustang
State: Oklahoma
ZIP Code: 73064-3911
Phone: (405) 256-0500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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