Organization
PAULA C COTHRAN DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULA C COTHRAN DDS (OWNER)
(405) 634-4188
Entity
Organization
Contact information
Practice address
1001 W I 240 SERVICE RD, OKLAHOMA CITY, OK 73139-2102
(405) 634-4188
Mailing address
1001 SW 74TH STREET, OKLAHOMA CITY, OK 73139-2102
(405) 634-4188
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5136
OK
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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