Tina Benally, AT

NPI 1942440821 · on the registry since 2009 · sole proprietor

Practice

Address: 3501 N Butler Ave
Ste 101& 102
Farmington, NM 87401
Phone: (505) 326-0064
Fax: (505) 327-3995
Organisation at this address: Dds Catalyst Farmington, Llc
3501 North Butler Avenue Farmington Professional Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 11

Registry record

Primary taxonomy: 2255A2300X
2255A2300X
Licence states on file: NM
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2009-03-04

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 New Mexico