Individual
DR. MICHAEL ROSS CONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2800 COORS BLVD NW, A, ALBUQUERQUE, NM 87120-1204
(505) 352-1166
(505) 352-2805
Mailing address
110 RICHMOND DR SE UNIT 206, ALBUQUERQUE, NM 87106-2252
(575) 642-4779
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD4332
NM
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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