DR. Katelyn Kristine Modjeski Fenlon, DDS

NPI #1043570260 in Fountain Hills, Arizona

Provider Information

NPI Number: 1043570260
Entity Type: Individual
Name: DR. Katelyn Kristine Modjeski Fenlon, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 22, 2012
Last Updated: Mar 17, 2018

Practice Location

Address: 13014 N SAGUARO BLVD STE 203
City: Fountain Hills
State: Arizona
ZIP Code: 85268-3966
Phone: (480) 836-1551

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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