Individual
BENJAMIN ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
202 S 6TH ST, HENRYETTA, OK 74437-5002
(918) 652-4404
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996
(918) 235-9079
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7626
OK
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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