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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