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 |