| NPI | 1881885127 |
|---|---|
| Doing Business As | LITTLE TEETH BIG SMILES & CHILDREN'S DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JERRY E UDELSON President 708-386-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 021001495) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2024-07-17 |