DENTAL DEPOT OF 63RD & NW EXPRESSWAY, PLLC

OKLAHOMA CITY, OK
NPI1861058877
Entity TypeOrganization
Authorized ContactGLENN ALLAN ASHMORE
Owner / President
405-591-3123
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2019-05-15
Last Update Date2021-06-25
Business Address
DENTAL DEPOT OF 63RD & NW EXPRESSWAY, PLLC
4025 NW 63RD STREET
OKLAHOMA CITY, OK 73116
Phone number: 405-591-3123
Mailing Address
DENTAL DEPOT OF 63RD & NW EXPRESSWAY, PLLC
2828 NW 30TH ST
OKLAHOMA CITY, OK 73112-7404
Phone number: 405-591-3123
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