Individual
MICHELE BISHOP
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2127 LOS PADILLAS RD SW, ALBUQUERQUE, NM 87105-7189
(505) 873-7462
(505) 873-7490
Mailing address
2001 CENTRO FAMILIAR BLVD SW, ALBUQUERQUE, NM 87105-4592
(505) 873-7462
(505) 873-7490
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD2059
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A3536
—
NM
Enumeration date
11/18/2005
Last updated
07/08/2007
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