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1013134154
JERRY UDELSON
FOREST PARK, IL
NPI
1013134154
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: IL 021-001495)
Enumeration Date
2007-04-19
Last Update Date
2024-07-17
Business Address
Dr. JERRY UDELSON DDS
1125 HARLEM AVE
FOREST PARK, IL 60130-2337
Phone number: 708-386-5437
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Mailing Address
Dr. JERRY UDELSON DDS
1125 HARLEM AVE
FOREST PARK, IL 60130-2337
Phone number: 708-386-5437
Copy
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