| NPI | 1982967618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN JAMES BOWMAN Owner 405-375-5855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 6076) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2012-06-18 |