Illini Smiles Dental Care P.c.

NPI #1275046328 in Tolono, Illinois

Provider Information

NPI Number: 1275046328
Entity Type: Organization
Organization Name: Illini Smiles Dental Care P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 12, 2017
Last Updated: Nov 12, 2017

Practice Location

Address: 202 N PEASE ST
City: Tolono
State: Illinois
ZIP Code: 61880-9046
Phone: (217) 485-5760

Authorized Official

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

Specialties & Taxonomy Codes

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

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