Organization
CORWIN FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES OWEN CORWIN DDS (PRESIDENT)
(918) 367-3290
Entity
Organization
Contact information
Practice address
221 E 7TH AVE, BRISTOW, OK 74010-2503
(918) 367-3290
Mailing address
221 E 7TH AVE, BRISTOW, OK 74010-2503
(918) 367-3290
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4993
OK
122300000X
Dentist
5011
OK
Other
Enumeration date
04/16/2007
Last updated
08/22/2020
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