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Kingfisher Dental PLLC

Dentist, General Practice in Kingfisher, OK. Organization (NPI-2).

NPI number1982967618
StatusActive
Last updated in NPPESJun 18, 2012

Details

NPI
1982967618
Entity type
Organization (NPI-2)
Legal business name
Kingfisher Dental PLLC
Organization subpart
No
Enumeration date
Jun 18, 2012
Last updated
Jun 18, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice6076OKYes

Practice location

2302 Frontage Rd
Kingfisher, OK 73750-4810

Phone 405-375-5855 · Fax 405-375-5863

Mailing address

2302 Frontage Rd
Kingfisher, OK 73750-4810

Phone 405-375-5855 · Fax 405-375-5863

Authorized official

Benjamin James Bowman
Owner
4053755855

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Other General Practice Dentistry providers in Kingfisher, OK

All 9 General Practice Dentistry providers in Kingfisher · All 151 providers in Kingfisher

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