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Organization
JOHN D. MOSE III D.D.S. P.C.
Active
Organization
JOHN D. MOSE III D.D.S. P.C.
Active
Other names
Mose Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DEE MOSE D.D.S. (PRESIDENT)
(918) 294-9750
Entity
Organization
Contact information
Practice address
8316 E 61ST ST, SUITE 109, TULSA, OK 74133-1910
(918) 294-9750
(918) 249-1265
Mailing address
8316 E 61ST ST, SUITE 109, TULSA, OK 74133-1910
(918) 294-9750
(918) 249-1265
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5674
OK
Other
Enumeration date
04/17/2009
Last updated
04/17/2009
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