Highbury Dental Management, Llc | |
15661 W Roosevelt St Suite 102 Goodyear AZ 85338-9307 | |
(623) 882-1400 | |
Not Available |
Full Name | Highbury Dental Management, Llc |
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Speciality | Dentist - Pediatric Dentistry |
Location | 15661 W Roosevelt St, Goodyear, Arizona |
Authorized Official Name and Position | Richard Rowan (OWNER) |
Authorized Official Contact | 5058929010 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Highbury Dental Management, Llc 9201 Eagle Ranch Rd Nw Albuquerque NM 87114-6032 Ph: () - | Highbury Dental Management, Llc 15661 W Roosevelt St Suite 102 Goodyear AZ 85338-9307 Ph: (623) 882-1400 |
NPI Number | 1174061790 |
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Provider Enumeration Date | 02/02/2017 |
Last Update Date | 02/02/2017 |
Identifier | Type | State | Issuer |
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1174061790 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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