| NPI | 1982153391 |
|---|---|
| Doing Business As | OAKMONT DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | HEATHER PRUEMER Insurance/Credentialing 217-540-8434 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-09-27 |