DR. John P Theobald, D.D.S.
NPI #1952358616 in Midwest City, Oklahoma
Provider Information
- NPI Number
- 1952358616
- Entity Type
- Individual
- Name
- DR. John P Theobald, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- May 28, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1200 S AIR DEPOT BLVD
- Address 2
- I
- City
- Midwest City
- State
- Oklahoma
- ZIP Code
- 73110-4848
- Phone
- (405) 733-8136
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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