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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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