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1003196239
DENTAL DEPOT 62ND & SOUTH WESTERN PLLC
OKLAHOMA CITY, OK
NPI
1003196239
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Entity Type
Organization
Authorized Contact
GLENN ALLEN ASHMORE
President
405-949-0123
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2011-08-19
Last Update Date
2021-06-25
Business Address
DENTAL DEPOT 62ND & SOUTH WESTERN PLLC
6217 S WESTERN AVE
OKLAHOMA CITY, OK 73139-1605
Phone number: 405-606-7123
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Mailing Address
DENTAL DEPOT 62ND & SOUTH WESTERN PLLC
2828 NW 30TH ST
OKLAHOMA CITY, OK 73112-7404
Phone number: 405-606-7123
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