Organization
ILLINI SMILES DENTAL CARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUDONG XU (CEO)
(217) 892-8868
Entity
Organization
Contact information
Practice address
204 W UNIVERSITY AVE, URBANA, IL 61801-1741
(217) 607-1292
Mailing address
204 W UNIVERSITY AVE, URBANA, IL 61801-1741
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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