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Organization
UNITED DENTAL CENTERS
Active
Organization
UNITED DENTAL CENTERS
Active
Other names
united dental centers, ltd
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH MICHAEL FRIED DDS (PRESIDENT)
(773) 758-0002
Entity
Organization
Contact information
Practice address
1204 BALLYBUNION CT, DYER, IN 46311-1268
(773) 758-0002
Mailing address
1204 BALLYBUNION CT, DYER, IN 46311-1268
(773) 758-0002
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019017190
IL
Other
Enumeration date
12/08/2011
Last updated
12/18/2013
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