| High Mesa Dental Arts | |
|
106a Longview Drive Los Alamos NM 87544-3738 | |
| (505) 672-1336 | |
| (505) 672-0840 |
| Full Name | High Mesa Dental Arts |
|---|---|
| Speciality | Dentist |
| Location | 106a Longview Drive, Los Alamos, New Mexico |
| Authorized Official Name and Position | Laura D Heisch (DENTIST) |
| Authorized Official Contact | 5056721336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| High Mesa Dental Arts 106a Longview Drive Los Alamos NM 87544-3738 Ph: (505) 672-1336 | High Mesa Dental Arts 106a Longview Drive Los Alamos NM 87544-3738 Ph: (505) 672-1336 |
| NPI Number | 1518163583 |
|---|---|
| Provider Enumeration Date | 06/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518163583 | NPI | - | NPPES |
| R9365 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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