Great White Dentistry
Great White Dentistry is a General Practice Dentistry in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2018.
- Licensed in
- NM
- In the registry since
- 2018
Practice location Address checks out
5555 Montgomery Blvd NE Ste 17Albuquerque, NM 87109-1445
Phone: (505) 881-0422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence DD4733 (NM) |
|---|
Record details
| NPI number | 1639663792 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Isham — Owner/Dentist · (505) 881-0422 |
| Other names | Isham Dental; Isham Dental |
| NPI enumerated | June 21, 2018 |
| Last updated in NPPES | June 21, 2018 |
| Mailing address | 5555 Montgomery Blvd Ne Ste 17, Albuquerque, NM 87109-1445 |
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