# SAPULPA DENTISTRY AND BRACES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033711791
- **Authorized official:** BENJAMIN BOWMAN (OWNER)
- **Authorized official phone:** (405) 326-8004

## Contact information

- **Practice address:** 911 RIDGE POINTE DR, SAPULPA, OK 74066-4463
- **Practice address phone:** (405) 326-8004
- **Mailing address:** 911 RIDGE POINTE DR, SAPULPA, OK 74066-4463
- **Mailing address phone:** (405) 326-8004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/09/2020
- **Last updated:** 11/09/2020