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Organization

MICHAEL D HAIGHT DDS PC

Active
Other names
Parkway Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL D HAIGHT DDS (OWNER/DENTIST)
(505) 298-7479
Entity
Organization

Contact information

Practice address
10409 MONTGOMERY PKWY NE STE 201, ALBUQUERQUE, NM 87111-3862
(505) 298-7479
(505) 296-4278
Mailing address
10409 MONTGOMERY PKWY NE STE 201, ALBUQUERQUE, NM 87111-3862
(505) 298-7479
(505) 296-4278

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1710019047
NPI
NM
01
DD1845
DENTAL LICENSE
NM
Enumeration date
06/13/2022
Last updated
06/13/2022
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