Individual
MR. ALBERT MITCHEL HIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4025 W BELL RD, SUITE #18, PHOENIX, AZ 85053-2750
(602) 843-1275
(602) 938-4910
Mailing address
1300 W GURLEY ST STE 1, PRESCOTT, AZ 86305-2852
(928) 445-8033
(928) 443-1373
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D4361
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136673
—
AZ
Enumeration date
11/08/2006
Last updated
11/01/2010
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