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 |