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Search › Idaho › 1223G0001X

Katelyn De La Montanya, DMD

NPI 1770414906 · on the registry since 2026

Practice

Address
12212 W Amity Rd
Boise, ID 83709
Phone
(208) 350-6795
Organisation at this address
Trista E Pottenger, Dmd Pllc
Matthew G. Fethke, D.D.S.,Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-05-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho