Individual
KATHRYNE FENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1700 CERRILLOS RD, SANTA FE, NM 87505-3554
(505) 946-9485
Mailing address
29 ENCANTADO RD, SANTA FE, NM 87508-1394
(505) 946-9485
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD1986
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74306
—
NM
Enumeration date
12/22/2005
Last updated
09/13/2011
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