Organization
HIGHBURY DENTAL MANAGEMENT, LLC
Active
Parent organization
HIGHBURY DENTAL MANAGEMENT, LLC
Other names
Island Pediatric Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
HIGHBURY DENTAL MANAGEMENT, LLC
Authorized official
EBONIE MARIE GONZALES (CREDENTIALING MNAGAER)
(505) 850-3769
Entity
Organization
Contact information
Practice address
1425 W ELLIOT RD STE 101, GILBERT, AZ 85233-5141
(602) 536-7072
Mailing address
325 S HIGLEY RD STE 130, GILBERT, AZ 85296-4703
(505) 850-3769
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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