Individual
KATELYN DE LA MONTANYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
12212 W AMITY RD, BOISE, ID 83709-5389
(208) 350-6795
Mailing address
12212 W AMITY RD, BOISE, ID 83709-5389
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7381912
ID
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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