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Organization
THE RADIANT SMILE, PC
Active
Organization
THE RADIANT SMILE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES H CHEN DDS (PRESIDENT)
(847) 328-3573
Entity
Organization
Contact information
Practice address
1632 MAPLE AVE, EVANSTON, IL 60201-3602
(847) 328-3573
(847) 328-3658
Mailing address
1632 MAPLE AVE, EVANSTON, IL 60201-3602
(847) 328-3573
(847) 328-3658
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
04/12/2008
Last updated
04/18/2008
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