MR. Johnnie Lee Stark, DDS
NPI #1982714085 in Midwest City, Oklahoma
Provider Information
- NPI Number
- 1982714085
- Entity Type
- Individual
- Name
- MR. Johnnie Lee Stark, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Aug 30, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2816 PARKLAWN DRIVE
- Address 2
- SUITE 1
- City
- Midwest City
- State
- Oklahoma
- ZIP Code
- 73110-4212
- Phone
- (405) 737-7628
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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