Organization
SULPHUR DENTISTRY & BRACES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN JAMES BOWMAN DDS (OWNER)
(405) 326-8004
Entity
Organization
Contact information
Practice address
2611 W BROADWAY AVE, SULPHUR, OK 73086-6518
(580) 622-6655
Mailing address
2611 W BROADWAY AVE, SULPHUR, OK 73086-6518
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/15/2018
Last updated
01/14/2021
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