| The Radiant Smile, Pc | |
|
1632 Maple Ave Evanston IL 60201-3602 | |
| (847) 328-3573 | |
| (847) 328-3658 |
| Full Name | The Radiant Smile, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1632 Maple Ave, Evanston, Illinois |
| Authorized Official Name and Position | Charles H Chen (PRESIDENT) |
| Authorized Official Contact | 8473283573 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Radiant Smile, Pc 1632 Maple Ave Evanston IL 60201-3602 Ph: (847) 328-3573 | The Radiant Smile, Pc 1632 Maple Ave Evanston IL 60201-3602 Ph: (847) 328-3573 |
| NPI Number | 1639342454 |
|---|---|
| Provider Enumeration Date | 04/12/2008 |
| Last Update Date | 04/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639342454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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