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1861058877
DENTAL DEPOT OF 63RD & NW EXPRESSWAY, PLLC
OKLAHOMA CITY, OK
NPI
1861058877
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Entity Type
Organization
Authorized Contact
GLENN ALLAN ASHMORE
Owner / President
405-591-3123
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center Dental
Enumeration Date
2019-05-15
Last Update Date
2021-06-25
Business Address
DENTAL DEPOT OF 63RD & NW EXPRESSWAY, PLLC
4025 NW 63RD STREET
OKLAHOMA CITY, OK 73116
Phone number: 405-591-3123
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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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