Provider Demographics
NPI:1699005348
Name:HERBERT BRETT FRIEDMAN DDS LLC DBA UNION DENTAL CENTER
Entity Type:Organization
Organization Name:HERBERT BRETT FRIEDMAN DDS LLC DBA UNION DENTAL CENTER
Other - Org Name:UNION DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:BRETT
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-939-3950
Mailing Address - Street 1:201 S UNION AVE
Mailing Address - Street 2:
Mailing Address - City:HAVRE DE GRACE
Mailing Address - State:MD
Mailing Address - Zip Code:21078-3223
Mailing Address - Country:US
Mailing Address - Phone:410-939-3950
Mailing Address - Fax:410-939-3950
Practice Address - Street 1:201 S UNION AVE
Practice Address - Street 2:
Practice Address - City:HAVRE DE GRACE
Practice Address - State:MD
Practice Address - Zip Code:21078-3223
Practice Address - Country:US
Practice Address - Phone:410-939-3950
Practice Address - Fax:410-939-3950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-31
Last Update Date:2009-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD11802122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty