Organization
EL RENO DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN BOWMAN D.D.S. (DENTIST)
(405) 262-1919
Entity
Organization
Contact information
Practice address
2005 PARKVIEW DR, SUITE 2, EL RENO, OK 73036-2150
(405) 262-1919
Mailing address
2005 PARKVIEW DR, SUITE 2, EL RENO, OK 73036-2150
(405) 262-1919
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6395
OK
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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