Organization
DENTAL EXCELLENCE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADFORD RAY WILLIAMS (DENTIST OWNER)
(918) 396-3711
Entity
Organization
Contact information
Practice address
1400 W 4TH ST, SKIATOOK, OK 74070
(918) 396-3711
(918) 396-1062
Mailing address
PO BOX 1090, SKIATOOK, OK 74070
(918) 396-3711
(918) 396-1062
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4393
OK
Other
Enumeration date
08/20/2006
Last updated
07/15/2008
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