MICHAEL J FANNING

ALBUQUERQUE, NM
NPI1700153475
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: NM  DD3356)
Enumeration Date2011-11-24
Last Update Date2011-11-24
Business Address
Dr. MICHAEL J FANNING D.D.S., M.S.D.
8212 LOUISIANA BLVD NE STE A
ALBUQUERQUE, NM 87113-2105
Phone number: 505-400-9855
Mailing Address
Dr. MICHAEL J FANNING D.D.S., M.S.D.
5507 EAKES RD NW
LOS RANCHOS, NM 87107-5529
Phone number: 505-400-9855
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