| NPI | 1679767594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY TODD COHLMIA Owner 405-751-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OK 4966) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2007-09-04 |