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Organization
DENTL DEPOT RENO AND ROCKWELL, PLLC
Active
Organization
DENTL DEPOT RENO AND ROCKWELL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN ALLEN ASHMORE DDS (OWNER / PRESIDENT)
(405) 945-8941
Entity
Organization
Contact information
Practice address
1920 N DREXEL BLVD, OKLAHOMA CITY, OK 73107-3925
(405) 945-8941
(405) 945-8959
Mailing address
2828 NW 30TH ST, OKLAHOMA CITY, OK 73112-7404
(405) 945-8941
(405) 945-8959
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3723
OK
Other
Enumeration date
10/04/2016
Last updated
03/17/2021
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