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
15661 W ROOSEVELT ST, SUITE 102, GOODYEAR, AZ 85338-9307
(623) 882-1400
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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