Individual
MICHAEL H MORTAJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3301 COORS BLVD NW, SUITE I, ALBUQUERQUE, NM 87120-1229
(505) 839-3703
(505) 839-3704
Mailing address
3301 COORS BLVD NW, SUITE I, ALBUQUERQUE, NM 87120-1229
(505) 839-3703
(505) 839-3704
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD1970
NM
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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