Individual
MATTHEW R. BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
201 SAN PEDRO DR SE, SUITE B-2, ALBUQUERQUE, NM 87108-3009
(505) 232-5437
Mailing address
201 W 8TH ST, SUITE 810, PUEBLO, CO 81003-3038
(719) 562-4447
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD3083
NM
Other
Enumeration date
12/02/2008
Last updated
12/27/2010
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