Individual
DR. BRADFORD RAYMOND WILLIAMS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1400 W 4TH ST, SKIATOOK, OK 74070-3927
(918) 396-3711
(918) 396-1062
Mailing address
PO BOX 1090, SKIATOOK, OK 74070-5090
(918) 396-3711
(918) 396-1062
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4393
OK
Other
Enumeration date
08/17/2005
Last updated
07/08/2007
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