Individual
DR. BRADFORD RAYMOND WILLIAMS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
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
6215
OK
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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