Individual
BENJAMIN JAMES BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 STARLITE DR, KINGFISHER, OK 73750-4944
(405) 375-5855
Mailing address
2302 FRONTAGE RD, KINGFISHER, OK 73750-4810
(405) 375-5855
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3614
AR
1223G0001X
General Practice Dentistry
Primary
6076
OK
Other
Enumeration date
06/21/2007
Last updated
07/21/2022
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