Organization
DENTAL SURGERY CENTER OF MIDWEST CITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN BOWMAN DDS (OWNER)
(405) 326-8004
Entity
Organization
Contact information
Practice address
1530 SW 119TH ST UNIT 108, OKLAHOMA CITY, OK 73170-4938
(405) 594-8846
Mailing address
9060 HARMONY DR STE E, MIDWEST CITY, OK 73130-6253
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/15/2020
Last updated
05/10/2022
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