Individual
DR. TED FRANK FEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
9066 TAMPA AVE, NORTHRIDGE, CA 91324-3523
(818) 993-3700
Mailing address
9066 TAMPA AVE, NORTHRIDGE, CA 91324-3523
(818) 993-3700
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DV031606
CA
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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