Organization
TAHLEQUAH DENTAL CARE PLLC
Active
Other names
John A. Geasland Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A. GEASLAND D.D.S. (MANAGING MEMBER)
(918) 456-2273
Entity
Organization
Contact information
Practice address
212 N MUSKOGEE AVE, TAHLEQUAH, OK 74464-2726
(918) 456-2273
(918) 431-0938
Mailing address
212 N MUSKOGEE AVE, TAHLEQUAH, OK 74464-2726
(918) 456-2273
(918) 431-0938
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4927
OK
Other
Enumeration date
05/07/2008
Last updated
05/09/2012
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