Individual
MR. JOHN DEE MOSE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5602 SOUTH MEMORIAL DRIVE, TULSA, OK 74145
(918) 294-9750
(918) 249-1265
Mailing address
5602 SOUTH MEMORIAL DRIVE, TULSA, OK 74145
(918) 294-9750
(918) 249-1265
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5674
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200015470A
—
OK
Enumeration date
06/13/2006
Last updated
05/03/2016
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