Individual
DR. BRYAN LEE WHITWELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5103 N SHARTEL AVE, OKLAHOMA CITY, OK 73118-6024
(405) 842-1115
Mailing address
5103 N SHARTEL AVE, OKLAHOMA CITY, OK 73118-6024
(405) 842-1115
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5502
OK
Other
Enumeration date
12/04/2005
Last updated
07/08/2007
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