| Little Teeth Big Smiles & Children's Dentistry | |
|
1125 Harlem Ave Forest Park IL 60130-2337 | |
| (708) 386-5437 | |
| (708) 771-5439 |
| Full Name | Little Teeth Big Smiles & Children's Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1125 Harlem Ave, Forest Park, Illinois |
| Authorized Official Name and Position | Jerry E Udelson (PRESIDENT) |
| Authorized Official Contact | 7083865437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Teeth Big Smiles & Children's Dentistry 1125 Harlem Ave Forest Park IL 60130-2337 Ph: (708) 386-5437 | Little Teeth Big Smiles & Children's Dentistry 1125 Harlem Ave Forest Park IL 60130-2337 Ph: (708) 386-5437 |
| NPI Number | 1881885127 |
|---|---|
| Provider Enumeration Date | 08/01/2007 |
| Last Update Date | 07/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881885127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 021001495 (Illinois) | Primary |
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