DDS Dental PC

NPI #1689858698 in Mustang, Oklahoma

Provider Information

NPI Number: 1689858698
Entity Type: Organization
Organization Name: DDS Dental PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 27, 2007
Last Updated: Dec 27, 2007

Practice Location

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

Authorized Official

Name: DR. SIDNEY LEE JOHNSON, D.D.S
Title: DENTIST
Phone: (405) 256-0500

Specialties & Taxonomy Codes

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

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