| NPI | 1386284552 |
|---|---|
| Doing Business As | EDMOND DENTAL SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN BOWMAN Owner 405-326-8004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2021-01-14 |