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Organization
MIDWEST CITY DENTISTRY AND BRACES
Active
Organization
MIDWEST CITY DENTISTRY AND BRACES
Active
Other names
Midwest City Dentistry and Braces
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN BOWMAN (OWNER)
(405) 326-8004
Entity
Organization
Contact information
Practice address
829 S AIR DEPOT BLVD, MIDWEST CITY, OK 73110
(405) 862-7010
Mailing address
829 S AIR DEPOT BLVD, MIDWEST CITY, OK 73110
(405) 862-7010
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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