Organization
ADA DENTISTRY AND BRACES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN BOWMAN (OWNER)
(405) 326-8004
Entity
Organization
Contact information
Practice address
931 ARLINGTON ST STE 3, ADA, OK 74820-4025
(580) 332-0431
Mailing address
931 ARLINGTON ST STE 3, ADA, OK 74820-4025
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/21/2020
Last updated
03/21/2022
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