| Barry A Feder Dds Ps | |
|
450 Nw Gilman Blvd Suite 103 Issaquah WA 98027-2483 | |
| (425) 392-7541 | |
| (425) 391-3869 |
| Full Name | Barry A Feder Dds Ps |
|---|---|
| Speciality | Dentist |
| Location | 450 Nw Gilman Blvd, Issaquah, Washington |
| Authorized Official Name and Position | Barry A Feder (OWNER) |
| Authorized Official Contact | 4253927541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Barry A Feder Dds Ps 450 Nw Gilman Blvd Suite 103 Issaquah WA 98027-2483 Ph: (425) 392-7541 | Barry A Feder Dds Ps 450 Nw Gilman Blvd Suite 103 Issaquah WA 98027-2483 Ph: (425) 392-7541 |
| NPI Number | 1699988808 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699988808 | NPI | - | NPPES |
| 5503602 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4718 (Washington) | Primary |
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