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Organization
UNITED DENTAL CENTERS, LTD
Active
Organization
UNITED DENTAL CENTERS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH FRIED DDS (PRESIDENT)
(773) 646-6262
Entity
Organization
Contact information
Practice address
3540 E 118TH ST, CHICAGO, IL 60617-7314
(773) 646-6262
Mailing address
3540 E 118TH ST, CHICAGO, IL 60617-7314
(773) 646-6262
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019017190
IL
Other
Enumeration date
11/03/2010
Last updated
05/26/2015
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