MICHAEL SCOTT ISHAM

ALBUQUERQUE, NM
NPI1548782352
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: NM  DD4733)
Enumeration Date2017-07-13
Last Update Date2022-07-21
Business Address
MICHAEL SCOTT ISHAM
1015 CALLE GARZA NE
ALBUQUERQUE, NM 87113-1249
Phone number: 505-610-0163
Mailing Address
MICHAEL SCOTT ISHAM
1015 CALLE GARZA NE
ALBUQUERQUE, NM 87113-1249
Phone number: 505-610-0163