Individual
RAY W BROADFOOT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2200 NW 122ND ST, OKLAHOMA CITY, OK 73120-8402
(405) 755-4321
(405) 755-7264
Mailing address
2200 NW 122ND ST, OKLAHOMA CITY, OK 73120-8402
(405) 755-4321
(405) 755-7264
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3725
OK
Other
Enumeration date
01/06/2006
Last updated
07/08/2007
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