# BARRY A FEDER DDS PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699988808
- **Authorized official:** BARRY A FEDER (OWNER)
- **Authorized official phone:** (425) 392-7541

## Contact information

- **Practice address:** 450 NW GILMAN BLVD, SUITE 103, ISSAQUAH, WA 98027-2483
- **Practice address phone:** (425) 392-7541
- **Practice address fax:** (425) 391-3869
- **Mailing address:** 450 NW GILMAN BLVD, SUITE 103, ISSAQUAH, WA 98027-2483
- **Mailing address phone:** (425) 392-7541
- **Mailing address fax:** (425) 391-3869

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4718 | WA | Yes |

## Other

- **Enumeration date:** 05/07/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5503602 | — | WA |