Individual
BLAKE COHLMIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3727 NW 63RD ST STE 310, OKLAHOMA CITY, OK 73116-1941
(405) 848-3783
Mailing address
3727 NW 63RD ST STE 310, OKLAHOMA CITY, OK 73116-1941
(405) 848-3783
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7566
OK
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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