Organization
HIGH DESERT DENTAL LLC
Active
Other names
High Desert Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY M ROSS D.D.S.,F.A.G.D.,F.I. (PRESIDENT)
(505) 888-2606
Entity
Organization
Contact information
Practice address
6830 MONTGOMERY BLVD NE STE A, ALBUQUERQUE, NM 87109-1455
(505) 888-2606
(505) 837-1635
Mailing address
6830 MONTGOMERY BLVD NE STE A, ALBUQUERQUE, NM 87109-1455
(505) 888-2606
(505) 837-1635
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD1387
NM
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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