Organization
KENNETH MICHAEL FRIED
Active
Other names
united dental centers
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH M FRIED D.D.S. (OWNER)
(773) 646-6262
Entity
Organization
Contact information
Practice address
1332 119TH ST, WHITING, IN 46394-1631
(219) 659-4900
Mailing address
1332 119TH ST., WHITING, IN 46394
(219) 659-4900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019017190
IL
1223G0001X
General Practice Dentistry
Primary
12009174
IN
Other
Enumeration date
05/08/2007
Last updated
06/18/2008
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