| NPI | 1073867792 |
|---|---|
| Doing Business As | OAKRIDGE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | PAM HARDIEK Credentialing/Insurance 217-540-5100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2012-12-31 |