Organization
CHOCTAW DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN BOWMAN (DENTIST/PRESIDENT)
(405) 326-8004
Entity
Organization
Contact information
Practice address
14310 DALE STERNS DR, CHOCTAW, OK 73020
(405) 281-5800
Mailing address
9060 HARMONY DR STE E, MIDWEST CITY, OK 73130-6253
(405) 594-8844
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6276
OK
Other
Enumeration date
03/01/2012
Last updated
04/29/2021
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