Organization
DR GLENN A ASHMORE INC
Active
Other names
Dental Depot
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN A ASHMORE DDS (PRES)
(405) 949-0123
Entity
Organization
Contact information
Practice address
3104 NW 23, OKC, OK 73107
(405) 949-0123
(405) 949-9762
Mailing address
2828 NW 30TH ST, OKLAHOMA CITY, OK 73112-7404
(405) 949-0123
(405) 949-9762
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3723
OK
Other
Enumeration date
09/26/2006
Last updated
06/25/2021
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