Individual
DR. KATELYN KRISTINE MODJESKI FENLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13014 N SAGUARO BLVD STE 203, FOUNTAIN HILLS, AZ 85268-3966
(480) 836-1551
Mailing address
10434 N 83RD ST, SCOTTSDALE, AZ 85258-1325
(608) 692-7087
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9822
AZ
Other
Enumeration date
05/22/2012
Last updated
03/17/2018
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