WALTICE BENJAMIN HAM

ALBUQUERQUE, NM
NPI1629101845
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NM  NM1486)
Enumeration Date2007-03-14
Last Update Date2007-07-08
Business Address
-- WALTICE BENJAMIN HAM DDS
4101 MORRIS ST NE SUITE G
ALBUQUERQUE, NM 87111-3605
Phone number: 505-292-4000
Mailing Address
-- WALTICE BENJAMIN HAM DDS
4101 MORRIS ST NE SUITE G
ALBUQUERQUE, NM 87111-3605
Phone number: 505-292-4000
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