NPI | 1992849996 |
---|---|
Doing Business As | KINGFISHER DENTISTRY AND BRACES |
Entity Type | Organization |
Authorized Contact | BENJAMIN JAMES BOWMAN Owner 405-375-5855 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 3767) |
Enumeration Date | 2007-02-16 |
Last Update Date | 2021-02-15 |