Illini Smiles Dental Care P.c.

NPI #1104346220 in Paxton, Illinois

Provider Information

NPI Number: 1104346220
Entity Type: Organization
Organization Name: Illini Smiles Dental Care P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 20, 2017
Last Updated: Jun 20, 2017

Practice Location

Address: 225 N MARKET ST
City: Paxton
State: Illinois
ZIP Code: 60957-1189
Phone: (217) 379-4614

Authorized Official

Name: YUDONG XU
Title: PRESIDENT
Phone: (217) 892-8868

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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