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Organization
CDHC, PLLC
Active
Organization
CDHC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ALLEN LANDERS D.D.S. (OWNER)
(918) 249-0249
Entity
Organization
Contact information
Practice address
9006 E 62ND ST, STE. A, TULSA, OK 74133-6371
(918) 249-0249
(918) 249-1055
Mailing address
9006 E 62ND ST, STE. A, TULSA, OK 74133-6371
(918) 249-0249
(918) 249-1055
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5326
OK
122300000X
Dentist
Primary
5353
OK
1223P0221X
Pediatric Dentistry
3842
OK
1223P0221X
Pediatric Dentistry
5364
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100251940A
—
OK
05
—
200031170A
—
OK
05
—
200031180A
—
OK
05
—
200042490A
—
OK
Enumeration date
10/11/2016
Last updated
10/11/2016
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