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Organization
DENTAL SURGERY CENTER OF MIDWEST CITY
Active
Organization
DENTAL SURGERY CENTER OF MIDWEST CITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN BOWMAN DDS (OWNER)
(405) 326-8004
Entity
Organization
Contact information
Practice address
1530 SW 119TH ST UNIT 108, OKLAHOMA CITY, OK 73170-4938
(405) 594-8846
Mailing address
9060 HARMONY DR STE E, MIDWEST CITY, OK 73130-6253
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/15/2020
Last updated
05/10/2022
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