| NPI | 1649268764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK THOMAS COHENOUR President 405-577-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 4347) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2016-09-13 |