NPI | 1417225194 |
---|---|
Other Name | UNITED DENTAL CENTERS, LTD |
Entity Type | Organization |
Authorized Contact | KENNETH MICHAEL FRIED President 773-758-0002 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019017190) |
Enumeration Date | 2011-12-08 |
Last Update Date | 2013-12-18 |