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Organization

CLEVELAND DENTISTRY AND BRACES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BENJAMIN BOWMAN DDS (OWNER)
(405) 326-8004
Entity
Organization

Contact information

Practice address
101 E CEDAR CREEK DR, CLEVELAND, OK 74020-9548
(918) 358-3512
Mailing address
101 E CEDAR CREEK DR, CLEVELAND, OK 74020-9548
(918) 358-3512

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
06/23/2021
Last updated
12/04/2023
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