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Individual

DR. CHADWICK NATHAN WEBSTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
8190 S MEMORIAL DR, TULSA, OK 74133-4309
(918) 307-0307
(918) 307-0308
Mailing address
8190 S MEMORIAL DR, TULSA, OK 74133-4309
(918) 307-0307
(918) 307-0308

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5653
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200071070A
OK
Enumeration date
09/25/2006
Last updated
08/08/2012
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