Organization
DENTAL DEPOT OF I-44 & HARVARD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN ALLAN ASHMORE DDS (PRESIDENT / OWNER)
(918) 742-2123
Entity
Organization
Contact information
Practice address
4770 S. HARVARD AVE., TULSA, OK 74135-3024
(918) 742-2123
(918) 742-2124
Mailing address
2828 NW 30TH ST, OKLAHOMA CITY, OK 73112-7404
(918) 742-2123
(918) 742-2124
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3723
OK
Other
Enumeration date
09/26/2017
Last updated
07/21/2022
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