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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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