Organization
HIGHLAND AVENUE DENTAL PLLC
Active
Other names
Highland Dental Studio
Organization subpart
No
Provider details
NPI number
Authorized official
VICENTA REYES (LEAD OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
740 E HIGHLAND AVE STE 200, PHOENIX, AZ 85014-3679
(602) 264-0707
Mailing address
740 E HIGHLAND AVE STE 200, PHOENIX, AZ 85014-3679
(602) 264-0707
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/07/2022
Last updated
05/02/2023
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