| Highbury Dental Management, Llc | |
|
1425 W Elliot Rd Ste 101 Gilbert AZ 85233-5141 | |
| (602) 536-7072 | |
| Not Available |
| Full Name | Highbury Dental Management, Llc |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 1425 W Elliot Rd Ste 101, Gilbert, Arizona |
| Authorized Official Name and Position | Ebonie Marie Gonzales (CREDENTIALING MNAGAER) |
| Authorized Official Contact | 5058503769 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Highbury Dental Management, Llc 325 S Higley Rd Ste 130 Gilbert AZ 85296-4703 Ph: (505) 850-3769 | Highbury Dental Management, Llc 1425 W Elliot Rd Ste 101 Gilbert AZ 85233-5141 Ph: (602) 536-7072 |
| NPI Number | 1962091454 |
|---|---|
| Provider Enumeration Date | 01/11/2021 |
| Last Update Date | 01/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962091454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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