Angel Smiles Dental Center | |
730 Enterprise Rantoul IL 61866-3689 | |
(217) 364-7235 | |
Not Available |
Full Name | Angel Smiles Dental Center |
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Speciality | Dentist - General Practice |
Location | 730 Enterprise, Rantoul, Illinois |
Authorized Official Name and Position | Yudong Xu (PRESIDENT) |
Authorized Official Contact | 2173647235 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Angel Smiles Dental Center 2803 Cherry Hills Dr Champaign IL 61822-7541 Ph: () - | Angel Smiles Dental Center 730 Enterprise Rantoul IL 61866-3689 Ph: (217) 364-7235 |
NPI Number | 1417208455 |
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Provider Enumeration Date | 10/01/2012 |
Last Update Date | 10/01/2012 |
Identifier | Type | State | Issuer |
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1417208455 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 019026810 (Illinois) | Primary |