NPI | 1811479975 |
---|---|
Doing Business As | MIDWEST CITY FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | BENJAMIN JAMES BOWMAN Manager 405-326-8004 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OK 6076) |
Enumeration Date | 2018-09-05 |
Last Update Date | 2020-08-25 |