NPI 1801171731

Felicia Yelena Fontenot, DDS

Practitioner General Practice Dentistry Ruidoso, NM

Practice location

Address: 127 El Paso Road, Ruidoso, NM 88345
Phone: (575) 257-9053
Mailing address: PO Box 649, Fort Defiance, AZ 86504-0649

Registered specialties (2)

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence D4224 (NM)

Other Dentist providers in New Mexico →

Dentist

Dental Providers Taxonomy 122300000X Licence 60898 (CA)

Registry record

NPI: 1801171731
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Oct 2011
Record last updated: 11 Sep 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.