Individual
DR. LEON DOUGLAS BRAGG SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1321 NE 54TH ST, OKLAHOMA CITY, OK 73111-6611
(405) 427-5309
(405) 530-7121
Mailing address
1321 NE 54TH ST, OKLAHOMA CITY, OK 73111-6611
(405) 427-5309
(405) 530-7121
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
3897
OK
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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