Individual
MELINDA FRIED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
1001 MAIN ST, DYER, IN 46311-1235
(219) 322-9905
Mailing address
1924 HICKORY RD, HOMEWOOD, IL 60430-2239
(708) 798-0444
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012557A
IN
Other
Enumeration date
03/31/2016
Last updated
01/22/2020
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