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1548782352
MICHAEL SCOTT ISHAM
ALBUQUERQUE, NM
NPI
1548782352
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NM DD4733)
Enumeration Date
2017-07-13
Last Update Date
2022-07-21
Business Address
MICHAEL SCOTT ISHAM
1015 CALLE GARZA NE
ALBUQUERQUE, NM 87113-1249
Phone number: 505-610-0163
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Mailing Address
MICHAEL SCOTT ISHAM
1015 CALLE GARZA NE
ALBUQUERQUE, NM 87113-1249
Phone number: 505-610-0163
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