Organization
BROKEN BOW DENTISTRY PLLC
Active
Other names
Broken Bow Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH BARTLETT DDS (MANAGER)
(580) 584-3321
Entity
Organization
Contact information
Practice address
400 MAIN ST, BROKEN BOW, OK 74728-2982
(580) 584-3321
Mailing address
400 MAIN ST, BROKEN BOW, OK 74728-2982
(580) 584-3321
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/04/2022
Last updated
06/21/2023
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