NPI | 1861236135 |
---|---|
Doing Business As | DENTAL CARE AT OAKMONT |
Entity Type | Organization |
Authorized Contact | CEMYIRA MCDOUGAL Credentialing Coordinator 217-764-8609 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2024-06-21 |
Last Update Date | 2024-06-21 |