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Organization
SAPULPA DENTISTRY AND BRACES
Active
Organization
SAPULPA DENTISTRY AND BRACES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN BOWMAN (OWNER)
(405) 326-8004
Entity
Organization
Contact information
Practice address
911 RIDGE POINTE DR, SAPULPA, OK 74066-4463
(405) 326-8004
Mailing address
911 RIDGE POINTE DR, SAPULPA, OK 74066-4463
(405) 326-8004
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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