# HARRAH DENTISTRY & BRACES

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

## Provider details

- **NPI number:** 1366858847
- **Authorized official:** DR. BENJAMIN JAMES BOWMAN DDS (DOCTOR)
- **Authorized official phone:** (405) 326-8004

## Contact information

- **Practice address:** 2397 CHURCH AVE, HARRAH, OK 73045-9781
- **Practice address phone:** (405) 563-7772
- **Mailing address:** 2397 CHURCH AVE, HARRAH, OK 73045-9781

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6076 | OK | Yes |

## Other

- **Enumeration date:** 07/07/2014
- **Last updated:** 11/09/2020