| NPI | 1245741768 | 
|---|---|
| Doing Business As | ELMHURST DENTISTRY FOR KIDS | 
| Entity Type | Organization | 
| Authorized Contact | JERRY UDELSON Owner 630-833-1166  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 021001495)  | 
| Enumeration Date | 2017-10-24 | 
| Last Update Date | 2024-07-17 |