Dental Lodge of Purcell

NPI #1922626639 in Purcell, Oklahoma

Provider Information

NPI Number
1922626639
Entity Type
Organization
Organization Name
Dental Lodge of Purcell
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jul 9, 2020
Last Updated
Aug 25, 2020

Practice Location

Address
1929 S GREEN AVE
ZIP Code
73080-6203
Phone
(405) 294-9090

Authorized Official

Name
BENJAMIN BOWMAN
Title
OWNER
Phone
(405) 326-8004

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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