Organization
ILLINI SMILES DENTAL CARE P.C.
Active
Other names
Tolono Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
YUDONG XU DMD (PRESIDENT)
(217) 892-8868
Entity
Organization
Contact information
Practice address
202 N PEASE ST, TOLONO, IL 61880-9046
(217) 485-5760
Mailing address
202 N PEASE ST, TOLONO, IL 61880-9046
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
11/12/2017
Last updated
11/12/2017
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