Individual
DR. SARA KYONG CANTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
280 DAVID L. GOLDFEIN ST, BLDG 20, HOLLOMAN AFB, NM 88330
(575) 572-8100
Mailing address
280 DAVID L. GOLDFEIN ST, BLDG 20, HOLLOMAN AFB, NM 88330
(575) 572-8100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
205601
CO
Other
Enumeration date
03/06/2023
Last updated
08/29/2024
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