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MR. BRADLEY GENE WESTFALL D.D.S.

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1114960531

Individual Registrant:
MR. BRADLEY GENE WESTFALL D.D.S.
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

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

Registration Information:
NPI: 1114960531
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
OK4776

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
10011320BOK05




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