The Radiant Smile, PC

NPI #1639342454 in Evanston, Illinois

Provider Information

NPI Number: 1639342454
Entity Type: Organization
Organization Name: The Radiant Smile, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 12, 2008
Last Updated: Apr 18, 2008

Practice Location

Address: 1632 MAPLE AVE
City: Evanston
State: Illinois
ZIP Code: 60201-3602
Phone: (847) 328-3573

Authorized Official

Name: DR. CHARLES H CHEN, DDS
Title: PRESIDENT
Phone: (847) 328-3573

Specialties & Taxonomy Codes

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

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