Organization
HIGHBURY DENTAL MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ROWAN (OWNER)
(505) 892-9010
Entity
Organization
Contact information
Practice address
4244 N 19TH AVE, PHOENIX, AZ 85015-5108
(602) 776-9700
Mailing address
9201 EAGLE RANCH RD NW, ALBUQUERQUE, NM 87114-6032
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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