Individual
JENNY TEKLA FEDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
60 OLD NEW MILFORD RD, STE 1D, BROOKFIELD, CT 06804-2430
(203) 740-8460
Mailing address
60 OLD NEW MILFORD ROAD, STE 1D, BROOKFIELD, CT 06776
(203) 740-8460
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
CT00821
CT
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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