GREAT WHITE DENTISTRY

ALBUQUERQUE, NM
NPI1639663792
Doing Business AsISHAM DENTAL
Entity TypeOrganization
Authorized ContactMICHAEL SCOTT ISHAM
Owner/Dentist
505-881-0422
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NM  DD4733)
Enumeration Date2018-06-21
Last Update Date2018-06-21
Business Address
GREAT WHITE DENTISTRY
5555 MONTGOMERY BLVD NE STE 17
ALBUQUERQUE, NM 87109-1445
Phone number: 505-881-0422
Mailing Address
GREAT WHITE DENTISTRY
5555 MONTGOMERY BLVD NE STE 17
ALBUQUERQUE, NM 87109-1445
Phone number: 505-881-0422