Kenneth Michael Fried

NPI #1922211614 in Whiting, Indiana

Provider Information

NPI Number
1922211614
Entity Type
Organization
Organization Name
Kenneth Michael Fried
Primary Specialty
Dentist - General Practice
Enumeration Date
May 8, 2007
Last Updated
Jun 18, 2008

Practice Location

Address
1332 119TH ST
State
Indiana
ZIP Code
46394-1631
Phone
(219) 659-4900

Authorized Official

Name
DR. KENNETH M FRIED, D.D.S.
Title
OWNER
Phone
(773) 646-6262

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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