DENTAL DEPOT OF BROKEN ARROW, PLLC

BROKEN ARROW, OK
NPI1780001636
Entity TypeOrganization
Authorized ContactGLENN ALLAN ASHMORE
Owner / President
405-949-0123
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: OK  3723)
Enumeration Date2014-03-27
Last Update Date2021-06-22
Business Address
DENTAL DEPOT OF BROKEN ARROW, PLLC
1950 W KENOSHA ST
BROKEN ARROW, OK 74012-8944
Phone number: 405-945-8941
Mailing Address
DENTAL DEPOT OF BROKEN ARROW, PLLC
2828 NW 30TH ST
OKLAHOMA CITY, OK 73112-7404
Phone number: 405-945-8941
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