Individual
DR. JOHN ALFRED GEASLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
314 E DOWNING ST, TAHLEQUAH, OK 74464-3014
(918) 456-4571
(918) 456-2273
Mailing address
308 S MOCCASIN AVE, TAHLEQUAH, OK 74464-3454
(918) 456-7722
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4927
OK
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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