Big Smiles Center for Orthodontic Excellence LLC

NPI #1689009797 in Riverside, Illinois

Provider Information

NPI Number
1689009797
Entity Type
Organization
Organization Name
Big Smiles Center for Orthodontic Excellence LLC
Primary Specialty
Health Maintenance Organization
Enumeration Date
Sep 8, 2013
Last Updated
Sep 8, 2013

Practice Location

Address
346 DOWNING RD
ZIP Code
60546-1735
Phone
(708) 386-5437

Authorized Official

Name
JERRY E UDELSON, DDS
Title
DOCTOR/OWNER
Phone
(708) 386-5437

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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