Organization
HIGHLAND DENTAL,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA MAY WEAVER (ACCOUNT MANAGER)
(928) 775-7433
Entity
Organization
Contact information
Practice address
3253 NORTH WINDSONG DRIVE, PRESCOTT VALLEY, AZ 86314
(928) 775-7433
(928) 775-6378
Mailing address
3253 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-1222
(928) 775-7433
(928) 775-6378
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/16/2008
Last updated
10/16/2008
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