Edwina V. Johnson, D.d.s., P.c.

NPI 1003003831 - Dentist - 1223G0001X

NPI Details
NPI 1003003831
Enumeration Date 09/25/2007
Last Updated 06/18/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name EDWINA VIRGINIA EDWINA
Position DENTIST
Phone (405) 557-1245
Fax
Practice Location
4200 HEMINGWAY DR
OKLAHOMA CITY OK, 73118-2235, US
Phone (405) 557-1245
Fax
Business Location
4200 HEMINGWAY DR
OKLAHOMA CITY OK, 73118-2235, US
Phone (405) 557-1245
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Oklahoma
License Number S 4606
Remove 1003003831 NPI Number
 

According to our database, Edwina V. Johnson, D.d.s., P.c. NPI is 1003003831, taxonomy code is 1223G0001X and license number is S 4606, license state is located at Oklahoma. Edwina V. Johnson, D.d.s., P.c. physically located at 4200 Hemingway Dr, Oklahoma City OK, 73118-2235. NPI Number 1033115704 has the healthcare provider type.

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1003003831 NPI number is provided on an as is basis without warranty of any kind. 1003003831 is maintained by the National Plan & Provider Enumeration System. The contents of Edwina V. Johnson, D.d.s., P.c. are for informational purposes only.