| NPI | 1013150242 |
|---|---|
| Doing Business As | MOSE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JOHN DEE MOSE President 918-294-9750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OK 5674) |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2009-04-17 |