Individual
KATELYN NOELLE BOBBITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1406 LUISA ST STE 1, SANTA FE, NM 87505-4161
(505) 303-4503
Mailing address
6931 WALNUT CREEK RD NE, ALBUQUERQUE, NM 87109-2833
(479) 806-3320
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD5180
NM
Other
Enumeration date
08/12/2019
Last updated
09/22/2025
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