Individual
KATHALYN AINE MALONE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
HWY 571, #28, EL RITO, NM 87530
(505) 581-4728
(505) 581-4789
Mailing address
PO BOX 237, EL RITO, NM 87530-0237
(505) 581-4728
(505) 581-4789
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0021242
TX
122300000X
Dentist
D7553
OR
122300000X
Dentist
Primary
DD2569
NM
Other
Enumeration date
09/14/2005
Last updated
07/08/2007
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