Highland Avenue Dental Pllc

NPI #1063169324 in Phoenix, Arizona

Provider Information

NPI Number
1063169324
Entity Type
Organization
Organization Name
Highland Avenue Dental Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 7, 2022
Last Updated
May 2, 2023

Practice Location

Address
740 E HIGHLAND AVE STE 200
State
Arizona
ZIP Code
85014-3679
Phone
(602) 264-0707

Authorized Official

Name
VICENTA REYES
Title
LEAD OF CREDENTIALING
Phone
(972) 869-3789

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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