| NPI | 1568686640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY GENE WESTFALL Dentist 918-789-2515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 4776) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |