| NPI | 1770876013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND A. COHLMIA Dentist 405-848-3783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 4867) |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2011-05-19 |