Illini Smiles Dental Care P.c.

NPI #1417208455 in Rantoul, Illinois

Provider Information

NPI Number: 1417208455
Entity Type: Organization
Organization Name: Illini Smiles Dental Care P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 1, 2012
Last Updated: Oct 1, 2012

Practice Location

Address: 730 ENTERPRISE
City: Rantoul
State: Illinois
ZIP Code: 61866-3689
Phone: (217) 364-7235

Authorized Official

Name: DR. YUDONG XU, DMD
Title: PRESIDENT
Phone: (217) 364-7235

Specialties & Taxonomy Codes

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

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