Individual
DONNA KIDBY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1442 S SAINT FRANCIS DR, SANTA FE, NM 87505-4031
(505) 988-2178
Mailing address
2108 CALLE DE SEBASTIAN, SANTA FE, NM 87505-7314
(505) 983-4461
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DD2274
NM
1223D0001X
Public Health Dentistry
Primary
DD2274
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89029313
—
NY
Enumeration date
10/12/2005
Last updated
09/11/2025
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