Individual
GLENN A ASHMORE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3104 NW 23, OKLAHOMA CITY, OK 73107
(405) 949-0123
(405) 949-9762
Mailing address
3104 NW 23, OKLAHOMA CITY, OK 73107
(405) 949-0123
(405) 949-9762
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3723
OK
Other
Enumeration date
10/11/2005
Last updated
07/08/2007
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