University Dental Associates, L.l.p.

NPI #1376987388 in Brooklyn, New York

Provider Information

NPI Number: 1376987388
Entity Type: Organization
Organization Name: University Dental Associates, L.l.p.
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 21, 2013
Last Updated: Apr 18, 2017

Practice Location

Address: 4802 10TH AVE
Address 2: DIVISION OF DENTISTRY/MAIMONIDES MEDICAL CENTER
City: Brooklyn
State: New York
ZIP Code: 11219-2916
Phone: (718) 283-7428

Authorized Official

Name: DR. ALVIN DONALD FRIED, D.D.S.
Title: DENTIST/PARTNER
Phone: (718) 283-7428

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X

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