Organization
DR. ISLO D. 'WINN' ASHMORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISLO 'WINN' D ASHMORE DDS (DENTIST)
(405) 949-0123
Entity
Organization
Contact information
Practice address
3104 NW 23RD ST, OKLAHOMA CITY, OK 73107-1902
(405) 949-0123
(405) 949-9762
Mailing address
3104 NW 23RD ST, OKLAHOMA CITY, OK 73107-1902
(405) 949-0123
(405) 949-9762
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4682
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
790065
UNITED CONCORDIA
—
01
—
OK02587901
BLUE CROSS AND BLUE SHIELD OF OKLAHOMA
—
Enumeration date
04/23/2008
Last updated
04/23/2008
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