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1407412992
DENTAL DEPOT SOUTHERN HILLS 71ST & JACKSON
TULSA, OK
NPI
1407412992
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Entity Type
Organization
Authorized Contact
GLENN ALLAN ASHMORE
Owner / President
918-236-7123
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2019-05-10
Last Update Date
2021-06-25
Business Address
DENTAL DEPOT SOUTHERN HILLS 71ST & JACKSON
710 W 71ST ST
TULSA, OK 74132-1825
Phone number: 918-236-7123
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Mailing Address
DENTAL DEPOT SOUTHERN HILLS 71ST & JACKSON
2828 NW 30TH ST
OKLAHOMA CITY, OK 73112-7404
Phone number: 918-236-7123
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