Organization
ORTHO2SMILE
Active
Organization
ORTHO2SMILE
Active
Other names
Premier Orthodontics & Dental Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORINA RADU DMD (OWNER DOCTOR)
(630) 964-0115
Entity
Organization
Contact information
Practice address
4326 PRINCE ST, DOWNERS GROVE, IL 60515-2875
(630) 964-0115
Mailing address
4326 PRINCE ST, DOWNERS GROVE, IL 60515-2875
(630) 964-0115
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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