NPI | 1164831384 |
---|---|
Entity Type | Organization |
Authorized Contact | BENJAMIN BOWMAN Manager 405-326-8004 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 6076) |
Enumeration Date | 2014-08-13 |
Last Update Date | 2020-11-09 |