Individual
DR. DAVID RICHARD FEDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1000 W CARSON ST, BOX 19, TORRANCE, CA 90502-2004
(310) 668-4675
(310) 638-2529
Mailing address
1000 W CARSON ST, BOX 19, TORRANCE, CA 90502-2004
(310) 668-4675
(310) 638-2529
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
27754
CA
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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