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Individual

DR. ALVIN DONALD FRIED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
4802 10TH AVE, DIVISION OF DENTISTRY/ MAIMONIDES MEDICAL CENTER, BROOKLYN, NY 11219-2844
(718) 283-7428
(718) 635-7073
Mailing address
4802 10TH AVE, DIVISION OF DENTISTRY/ MAIMONIDES MEDICAL CENTER, BROOKLYN, NY 11219-2844
(718) 283-7428
(718) 635-7073

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
035509
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01200215
NY
Enumeration date
10/26/2005
Last updated
03/15/2015
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