Individual
MR. MICHAEL S SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS.,MS
Contact information
Practice address
10425 MONTGOMERY PKWY NE, ALBUQUERQUE, NM 87111-3864
(505) 291-9000
(505) 294-3998
Mailing address
10425 MONTGOMERY PKWY NE, ALBUQUERQUE, NM 87111-3864
(505) 291-9000
(505) 294-3998
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD2729
NM
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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