Individual
DR. JOHN ALLEN LANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4322 E 51ST ST, TULSA, OK 74135-3611
(918) 743-9946
Mailing address
4322 E 51ST ST, TULSA, OK 74135-3611
(918) 743-9946
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5326
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200042490A
—
OK
Enumeration date
08/15/2006
Last updated
09/02/2015
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