| NPI | 1811663776 |
|---|---|
| Doing Business As | ORAHH |
| Entity Type | Organization |
| Authorized Contact | CELIA HAYES Credentialing Coorinator 217-540-2200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2021-08-20 |