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Organization
EDMOND DENTISTRY AND BRACES
Active
Organization
EDMOND DENTISTRY AND BRACES
Active
Other names
SmileWorx Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN JAMES BOWMAN DDS (OWNER)
(405) 326-8004
Entity
Organization
Contact information
Practice address
13912 N WESTERN AVE, EDMOND, OK 73013-1792
(405) 840-5591
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
12/27/2019
Last updated
06/16/2021
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