Individual
DR. FELICIA YELENA FONTENOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
127 EL PASO ROAD, RUIDOSO, NM 88345
(575) 257-9053
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
60898
CA
1223G0001X
General Practice Dentistry
Primary
D4224
NM
Other
Enumeration date
10/11/2011
Last updated
09/11/2018
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