| NPI | 1902607476 |
|---|---|
| Other Name | COOMSA |
| Entity Type | Organization |
| Authorized Contact | RICHARD R MILLER Owner 918-495-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2025-03-21 |
| Last Update Date | 2025-03-21 |