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Organization
BROKEN BOW DENTISTRY PLLC
Active
Organization
BROKEN BOW DENTISTRY PLLC
Active
Other names
Broken Bow Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH BARTLETT DDS (MANAGER)
(580) 584-3321
Entity
Organization
Contact information
Practice address
400 MAIN ST, BROKEN BOW, OK 74728-2982
(580) 584-3321
Mailing address
400 MAIN ST, BROKEN BOW, OK 74728-2982
(580) 584-3321
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/04/2022
Last updated
06/21/2023
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