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Organization
DENTAL SURGERY CENTER OF EDMOND
Active
Organization
DENTAL SURGERY CENTER OF EDMOND
Active
Other names
Edmond Dental Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN BOWMAN (OWNER)
(405) 326-8004
Entity
Organization
Contact information
Practice address
13912 N WESTERN AVE, EDMOND, OK 73013-1792
(405) 437-0622
Mailing address
13912 N WESTERN AVE, EDMOND, OK 73013-1792
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/15/2020
Last updated
01/14/2021
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