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Organization
EL RENO DENTAL
Active
Organization
EL RENO DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN JAMES BOWMAN (MANAGER)
(405) 326-8004
Entity
Organization
Contact information
Practice address
1601 INVESTORS AVE, EL RENO, OK 73036
(405) 262-1919
(405) 563-9374
Mailing address
9060 HARMONY DR STE E, MIDWEST CITY, OK 73130-6253
(405) 262-1919
(405) 563-9374
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6076
OK
Other
Enumeration date
07/13/2017
Last updated
01/31/2022
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