KENNETH MICHAEL FRIED

WHITING, IN
NPI1922211614
Doing Business AsUNITED DENTAL CENTERS
Entity TypeOrganization
Authorized ContactKENNETH M FRIED
Owner
773-646-6262
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12009174)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: IL  019017190)
Enumeration Date2007-05-08
Last Update Date2008-06-18
Business Address
KENNETH MICHAEL FRIED
1332 119TH ST
WHITING, IN 46394-1631
Phone number: 219-659-4900
Mailing Address
KENNETH MICHAEL FRIED
1332 119TH ST.
WHITING, IN 46394
Phone number: 219-659-4900