# MUSTANG DENTISTRY & BRACES

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

## Provider details

- **NPI number:** 1346762564
- **Authorized official:** DR. BENJAMIN JAMES BOWMAN DDS (MANAGER)
- **Authorized official phone:** (405) 326-8004

## Contact information

- **Practice address:** 1001 E. HIGHWAY 152, SUITE 113, MUSTANG, OK 73064
- **Practice address phone:** (405) 353-1388
- **Mailing address:** 1001 E HIGHWAY 152, SUITE 113, MUSTANG, OK 73064
- **Mailing address phone:** (405) 353-1388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 6076 | OK | Yes |

## Other

- **Enumeration date:** 07/10/2017
- **Last updated:** 10/29/2020