Highbury Dental Management, LLC

NPI #1962091454 in Gilbert, Arizona

Provider Information

NPI Number
1962091454
Entity Type
Organization
Organization Name
Highbury Dental Management, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
HIGHBURY DENTAL MANAGEMENT, LLC
Primary Specialty
Dentist - Dental Public Health
Enumeration Date
Jan 11, 2021
Last Updated
Jan 11, 2021

Practice Location

Address
1425 W ELLIOT RD STE 101
State
Arizona
ZIP Code
85233-5141
Phone
(602) 536-7072

Authorized Official

Name
EBONIE MARIE GONZALES
Title
CREDENTIALING MNAGAER
Phone
(505) 850-3769

Specialties & Taxonomy Codes

Specialty
Dentist - Dental Public HealthDental Public Health

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