Organization
C.BRANT WORTHINGTON DDD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. C. BRANT WORTHINGTON DDS (DENTIST)
(405) 737-0404
Entity
Organization
Contact information
Practice address
7901 NE 10TH ST, SUITE 103, OKLAHOMA CITY, OK 73110-3600
(405) 737-0404
(405) 737-0934
Mailing address
7901 NE 10TH ST, SUITE 103, OKLAHOMA CITY, OK 73110-3600
(405) 737-0404
(405) 737-0934
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5-3257
OK
Other
Enumeration date
04/18/2008
Last updated
04/18/2008
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