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Individual

DR. ISLO D (WINN) ASHMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
3104 NW 23RD, OKLAHOMA CITY, OK 73107
(405) 949-0123
(405) 949-9762
Mailing address
3104 NW 23RD, OKLAHOMA CITY, OK 73107
(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
Enumeration date
08/04/2006
Last updated
07/08/2007
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