Individual
SCOTT BRADLEY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6400
Mailing address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
08585
IA
Other
Enumeration date
09/30/2008
Last updated
04/10/2013
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