Individual
DR. KYLE MARTIN FOUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2401 E 30TH ST BLDG 1, FARMINGTON, NM 87401-8939
(505) 327-0441
(505) 324-9473
Mailing address
2401 E 30TH ST BLDG 1, FARMINGTON, NM 87401-8939
(505) 327-0441
(505) 324-9473
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DB-2025-0179
NM
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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