INGRID EDENA FEDER

PROVO, UT
NPI1215824578
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: UT  14223868-9926)
Enumeration Date2025-06-19
Last Update Date2025-06-19
Business Address
Dr. INGRID EDENA FEDER DMD
2211 E VALLEY VISTA WAY
PROVO, UT 84606-5636
Phone number: 801-377-0037
Mailing Address
Dr. INGRID EDENA FEDER DMD
8424 DAY ST
SUNLAND, CA 91040-3253
Phone number: 773-370-0335