| NPI | 1396910550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW E. COHLMIA Dentist 405-848-3783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5048) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2016-10-26 |