| NPI | 1013441039 |
|---|---|
| Doing Business As | HIGHLAND DENTAL |
| Entity Type | Organization |
| Authorized Contact | NATHAN R. THOMPSON Owner 520-488-5764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ D009619) |
| Additional Taxonomies | 122300000X Dentist (Licence: AZ D008682) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2017-04-17 |