Organization
HARRAH DENTISTRY & BRACES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN JAMES BOWMAN DDS (DOCTOR)
(405) 326-8004
Entity
Organization
Contact information
Practice address
2397 CHURCH AVE, HARRAH, OK 73045-9781
(405) 563-7772
Mailing address
2397 CHURCH AVE, HARRAH, OK 73045-9781
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6076
OK
Other
Enumeration date
07/07/2014
Last updated
11/09/2020
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