Individual
BEN WINTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 N STONEWALL AVE, OKLAHOMA CITY, OK 73117-1214
(918) 839-3214
Mailing address
411 WINCREST CIR, POTEAU, OK 74953-5443
(918) 839-3214
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6838
OK
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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