Organization
JERRY E UDELSON, DDS, PC
Active
Other names
Little Teeth Big Smiles & Children's Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY E UDELSON DDS (PRESIDENT)
(708) 386-5437
Entity
Organization
Contact information
Practice address
1125 HARLEM AVE, FOREST PARK, IL 60130-2337
(708) 386-5437
(708) 771-5439
Mailing address
1125 HARLEM AVE, FOREST PARK, IL 60130-2337
(708) 386-5437
(708) 771-5439
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
021001495
IL
Other
Enumeration date
08/01/2007
Last updated
07/17/2024
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