# GE KIDDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932959723
- **Authorized official:** SANDRA TRINH (MANAGING MEMBER)
- **Authorized official phone:** (402) 659-6054

## Contact information

- **Practice address:** 10 S PARK BLVD, GLEN ELLYN, IL 60137-6211
- **Practice address phone:** (402) 659-6054
- **Mailing address:** 640 S MONROE ST, HINSDALE, IL 60521-3926
- **Mailing address phone:** (402) 659-6054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | NULL | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | — | — |

## Other

- **Enumeration date:** 03/25/2024
- **Last updated:** 03/25/2024