Organization
HIGH MESA DENTAL ARTS
Active
Other names
Roger C Gartz DDS PA
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA D HEISCH DDS (DENTIST)
(505) 672-1336
Entity
Organization
Contact information
Practice address
106A LONGVIEW DRIVE, LOS ALAMOS, NM 87544-3738
(505) 672-1336
(505) 672-0840
Mailing address
106A LONGVIEW DRIVE, LOS ALAMOS, NM 87544-3738
(505) 672-1336
(505) 672-0840
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R9365
—
NM
Enumeration date
06/26/2007
Last updated
08/22/2020
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