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Organization
UNIVERSITY DENTAL ASSOCIATES, L.L.P.
Active
Organization
UNIVERSITY DENTAL ASSOCIATES, L.L.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALVIN DONALD FRIED D.D.S. (DENTIST/PARTNER)
(718) 283-7428
Entity
Organization
Contact information
Practice address
4802 10TH AVE, DIVISION OF DENTISTRY/MAIMONIDES MEDICAL CENTER, BROOKLYN, NY 11219-2916
(718) 283-7428
Mailing address
427 RIDGEWAY, WHITE PLAINS, NY 10605-4205
(718) 283-7428
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
024825
NY
1223G0001X
General Practice Dentistry
035509
NY
1223P0221X
Pediatric Dentistry
037837
NY
1223P0221X
Pediatric Dentistry
049090
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
044016
NY
Other
Enumeration date
04/21/2013
Last updated
04/18/2017
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