Tahlequah Dental Care Pllc

NPI #1306012547 in Tahlequah, Oklahoma

Provider Information

NPI Number
1306012547
Entity Type
Organization
Organization Name
Tahlequah Dental Care Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
May 7, 2008
Last Updated
May 9, 2012

Practice Location

Address
212 N MUSKOGEE AVE
ZIP Code
74464-2726
Phone
(918) 456-2273

Authorized Official

Name
DR. JOHN A. GEASLAND, D.D.S.
Title
MANAGING MEMBER
Phone
(918) 456-2273

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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