Individual
DR. C. BRANT WORTHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7901 NE 10TH ST, SUITE 103, MIDWEST CITY, OK 73110-3600
(405) 737-0404
Mailing address
7901 NE 10TH ST, SUITE 103, MIDWEST CITY, OK 73110-3600
(405) 737-0404
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3257
OK
Other
Enumeration date
09/20/2005
Last updated
04/18/2008
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