| United Dental Centers, Ltd | |
|
1204 Ballybunion Ct Dyer IN 46311-1268 | |
| (773) 758-0002 | |
| Not Available |
| Full Name | United Dental Centers, Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1204 Ballybunion Ct, Dyer, Indiana |
| Authorized Official Name and Position | Kenneth Michael Fried (PRESIDENT) |
| Authorized Official Contact | 7737580002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| United Dental Centers, Ltd 1204 Ballybunion Ct Dyer IN 46311-1268 Ph: (773) 758-0002 | United Dental Centers, Ltd 1204 Ballybunion Ct Dyer IN 46311-1268 Ph: (773) 758-0002 |
| NPI Number | 1417225194 |
|---|---|
| Provider Enumeration Date | 12/08/2011 |
| Last Update Date | 12/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417225194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019017190 (Illinois) | Primary |
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