Organization
PIEDMONT DENTISTRY & BRACES
Active
Other names
Northwood Dentistry and Braces
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN BOWMAN (OWNER)
(405) 326-8004
Entity
Organization
Contact information
Practice address
12000 NW EXPRESSWAY STE E, YUKON, OK 73099-8980
(405) 928-9982
Mailing address
12000 NW EXPRESSWAY, YUKON, OK 73099
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/08/2020
Last updated
04/26/2021
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