Individual
BARRY A FEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, PS
Contact information
Practice address
450 NW GILMAN BLVD, STE 103, ISSAQUAH, WA 98027-2483
(425) 392-7541
(425) 391-3869
Mailing address
450 NW GILMAN BLVD, STE 103, ISSAQUAH, WA 98027-2483
(425) 392-7541
(425) 391-3869
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4718
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05036
WASHINGTON DENTAL SERVICE
WA
05
—
5503602
—
WA
Enumeration date
06/16/2005
Last updated
07/08/2007
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