Jerry E Udelson, Dds, PC
NPI #1881885127 in Forest Park, Illinois
Provider Information
- NPI Number
- 1881885127
- Entity Type
- Organization
- Organization Name
- Jerry E Udelson, Dds, PC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Aug 1, 2007
- Last Updated
- Jul 17, 2024
Practice Location
- Address
- 1125 HARLEM AVE
- City
- Forest Park
- State
- Illinois
- ZIP Code
- 60130-2337
- Phone
- (708) 386-5437
Authorized Official
- Name
- DR. JERRY E UDELSON, DDS
- Title
- PRESIDENT
- Phone
- (708) 386-5437
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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