Organization
ILLINI SMILES DENTAL CARE P.C.
Active
Other names
Urbana Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
YUDONG XU (CEO)
(217) 892-8868
Entity
Organization
Contact information
Practice address
1812 PHILO RD, URBANA, IL 61802-6016
(217) 729-7411
Mailing address
303 W SPRINGFIELD AVE, CHAMPAIGN, IL 61820-4817
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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