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MR. BRADLEY GENE WESTFALL D.D.S.
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1114960531
Individual Registrant:MR. BRADLEY GENE WESTFALL D.D.S.
Gender: M
Gender: M
Location and contact information for practice:
430 W 6TH ST CHELSEA, OK 74016-1640 US
Tel: 918-789-2515 Fax: 918-789-2516
Tel: 918-789-2515 Fax: 918-789-2516
Contact information for business:
430 W 6TH ST P.O. BOX 65 CHELSEA, OK 74016-1640 US
Tel: 918-789-2515 Fax: 918-789-2516
Tel: 918-789-2515 Fax: 918-789-2516
Registration Information:
NPI: 1114960531
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | OK | 4776 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 10011320B | OK | 05 |
