Provider Type: Dental Providers
Provider Classification: Dentist
Provider Specialization: Oral and Maxillofacial Surgery
Definition of Specialization:
Address: 6132 E 61st St
Tulsa, OK 74136-2117
Phone: (918) 494-8634
Fax: (918) 494-8636
Authorized Official: Johnson, Donald Todd, D.D.S.
Authorized Official Position: Owner
Authorized Official Phone: (918) 494-8634

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