Dental Depot Southern Hills 71st & Jackson
NPI #1407412992 in Tulsa, Oklahoma
Provider Information
- NPI Number
- 1407412992
- Entity Type
- Organization
- Organization Name
- Dental Depot Southern Hills 71st & Jackson
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- May 10, 2019
- Last Updated
- Jun 25, 2021
Practice Location
Authorized Official
- Name
- DR. GLENN ALLAN ASHMORE, DDS
- Title
- OWNER / PRESIDENT
- Phone
- (918) 236-7123
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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