Organization
EDMOND DENTISTRY AND BRACES
Active
Other names
SmileWorx Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN JAMES BOWMAN DDS (OWNER)
(405) 326-8004
Entity
Organization
Contact information
Practice address
13912 N WESTERN AVE, EDMOND, OK 73013-1792
(405) 840-5591
Mailing address
13912 N WESTERN AVE, EDMOND, OK 73013-1792
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/27/2019
Last updated
06/16/2021
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