Organization
DENTAL DEPOT OF 36TH & TECUMSEH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN ALLAN ASHMORE DDS (PRESIDENT)
(405) 945-8941
Entity
Organization
Contact information
Practice address
3401 W. TECUMSEH RD., NORMAN, OK 73072
(405) 309-0123
(405) 267-9202
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
—
—
Other
Enumeration date
04/12/2018
Last updated
06/25/2021
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