Individual
DR. INGRID EDENA FEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2211 E VALLEY VISTA WAY, PROVO, UT 84606-5636
(801) 377-0037
Mailing address
8424 DAY ST, SUNLAND, CA 91040-3253
(773) 370-0335
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14223868-9926
UT
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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