Organization
ILLINI SMILES DENTAL CARE P.C.
Active
Other names
Angel Smiles Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YUDONG XU DMD (PRESIDENT)
(217) 364-7235
Entity
Organization
Contact information
Practice address
730 ENTERPRISE, RANTOUL, IL 61866-3689
(217) 364-7235
Mailing address
2803 CHERRY HILLS DR, CHAMPAIGN, IL 61822-7541
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019026810
IL
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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