Organization
MIDWEST CITY DENTISTRY AND BRACES
Active
Other names
Midwest City Dentistry and Braces
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN BOWMAN (OWNER)
(405) 326-8004
Entity
Organization
Contact information
Practice address
829 S AIR DEPOT BLVD, MIDWEST CITY, OK 73110
(405) 862-7010
Mailing address
829 S AIR DEPOT BLVD, MIDWEST CITY, OK 73110
(405) 862-7010
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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