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Organization

STILLWATER DENTISTRY & BRACES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BENJAMIN JAMES BOWMAN DDS (MANAGER)
(405) 326-8004
Entity
Organization

Contact information

Practice address
316 N MAIN ST STE 1, STILLWATER, OK 74075
(405) 372-7474
(405) 372-7429
Mailing address
316 N MAIN ST STE 1, STILLWATER, OK 74075-5548
(405) 372-7474
(405) 372-7429

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6076

Other

Enumeration date
07/10/2017
Last updated
07/21/2022
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