# FEDE FAMILY DENTISTRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750714911
- **Authorized official:** DR. CASSIE FEDE (OWNER/DENTIST)
- **Authorized official phone:** (503) 459-6851

## Contact information

- **Practice address:** 6800 MONTGOMERY BLVD NE, J, ALBUQUERQUE, NM 87109-1405
- **Practice address phone:** (503) 459-6851
- **Mailing address:** 6800 MONTGOMERY BLVD NE, J, ALBUQUERQUE, NM 87109-1405
- **Mailing address phone:** (503) 459-6851

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DD3185 | NM | Yes |

## Other

- **Enumeration date:** 08/12/2013
- **Last updated:** 08/12/2013