Organization
BLAKE HIGGINS DDS PLLC
Active
Other names
Mountain Valley Kids Dental
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS BLAKE HIGGINS DDS (OWNER)
(970) 390-4662
Entity
Organization
Contact information
Practice address
105 EDWARDS VILLAGE BLVD UNIT 202, EDWARDS, CO 81632-3211
(970) 926-8486
Mailing address
2055 VERMONT RD, VAIL, CO 81657-3802
(970) 390-4662
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/05/2021
Last updated
09/17/2021
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