Dental Depot 91st & Indian School, Pllc
NPI #1073204012 in Phoenix, Arizona
Provider Information
- NPI Number
- 1073204012
- Entity Type
- Organization
- Organization Name
- Dental Depot 91st & Indian School, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 19, 2023
- Last Updated
- May 30, 2025
Practice Location
Authorized Official
- Name
- DR. GLENN A ASHMORE
- Title
- OWNER / CEO
- Phone
- (405) 945-8941
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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