Individual
ANGELA BEATRICE FEDONENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2171 TORRANCE BLVD STE 1, TORRANCE, CA 90501-2657
(310) 953-9339
Mailing address
9145 CHARLEVILLE BLVD APT 105, BEVERLY HILLS, CA 90212-3501
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
102005
CA
Other
Enumeration date
09/12/2017
Last updated
10/13/2017
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