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Organization
UNITED DENTAL CENTERS
Active
Organization
UNITED DENTAL CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH FRIED DDS (PRESIDENT)
(708) 474-5055
Entity
Organization
Contact information
Practice address
18511 TORRENCE AVE, SUITE 2B, LANSING, IL 60438-2851
(708) 474-5055
Mailing address
18511 TORRENCE AVE, SUITE 2B, LANSING, IL 60438-2851
(708) 474-5055
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019017190
IL
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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