| NPI | 1467755371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN ALLEN ASHMORE President 405-832-1123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 3723) |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2021-06-25 |