| Elmhurst Dentistry For Kids | |
|
323 N York St Elmhurst IL 60126-2319 | |
| (630) 833-1166 | |
| Not Available |
| Full Name | Elmhurst Dentistry For Kids |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 323 N York St, Elmhurst, Illinois |
| Authorized Official Name and Position | Jerry Udelson (OWNER) |
| Authorized Official Contact | 6308331166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elmhurst Dentistry For Kids 323 N York St Elmhurst IL 60126-2319 Ph: (630) 833-1166 | Elmhurst Dentistry For Kids 323 N York St Elmhurst IL 60126-2319 Ph: (630) 833-1166 |
| NPI Number | 1245741768 |
|---|---|
| Provider Enumeration Date | 10/24/2017 |
| Last Update Date | 07/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245741768 | NPI | - | NPPES |
| 021001495 | Other | IL | PEDIATRIC DENTISTRY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 021001495 (Illinois) | Primary |
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