Individual
MR. BRADLEY GENE WESTFALL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
430 W 6TH ST, CHELSEA, OK 74016-1640
(918) 789-2515
(918) 789-2516
Mailing address
430 W 6TH ST, P.O. BOX 65, CHELSEA, OK 74016-1640
(918) 789-2515
(918) 789-2516
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4776
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10011320B
—
OK
Enumeration date
06/14/2006
Last updated
07/08/2007
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