| Highbury Dental Management, Llc | |
|
15661 W Roosevelt St Suite 102 Goodyear AZ 85338-9307 | |
| (623) 882-1400 | |
| Not Available |
| Full Name | Highbury Dental Management, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 15661 W Roosevelt St, Goodyear, Arizona |
| Authorized Official Name and Position | Richard Rowan (OWNER) |
| Authorized Official Contact | 5058929010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Highbury Dental Management, Llc 9201 Eagle Ranch Rd Nw Albuquerque NM 87114-6032 Ph: () - | Highbury Dental Management, Llc 15661 W Roosevelt St Suite 102 Goodyear AZ 85338-9307 Ph: (623) 882-1400 |
| NPI Number | 1174061790 |
|---|---|
| Provider Enumeration Date | 02/02/2017 |
| Last Update Date | 02/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174061790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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