KENNETH FRIED

CHICAGO, IL
NPI1457354441
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12009174)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: IL  019017190)
Enumeration Date2005-05-24
Last Update Date2020-11-26
Business Address
Dr. KENNETH FRIED DDS
3540 E 118TH ST
CHICAGO, IL 60617-7314
Phone number: 773-646-6262
Mailing Address
Dr. KENNETH FRIED DDS
3540 E 118TH ST
CHICAGO, IL 60617-7314
Phone number: 773-646-6262