DR. JERRY UDELSON, DDS
Dentist - Pediatric Dentistry
Active
Individual
NPI: 1013134154
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Pediatric Dentistry | 1223P0221X | Yes | 021-001495 (IL) |
Frequently Asked Questions
NPI 1013134154 is the National Provider Identifier for DR. JERRY UDELSON, DDS, a Dentist - Pediatric Dentistry provider located in Forest Park, IL. This NPI was enumerated on April 19, 2007.
DR. JERRY UDELSON, DDS practices at 1125 HARLEM AVE, Forest Park, IL 60130.
Quick Facts
- NPI
- 1013134154
- Type
- Individual
- Enumerated
- Apr 19, 2007
- Last Updated
- Jul 17, 2024
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