# DEMING DENTAL AND ORAL SURGERY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rio Mimbres Family Dental and Oral Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184192270
- **Authorized official:** DR. JOSHUA ELLISS DMD (OWNER)
- **Authorized official phone:** (702) 557-6423

## Contact information

- **Practice address:** 1315 S 8TH ST, DEMING, NM 88030-4949
- **Practice address phone:** (575) 546-6591
- **Mailing address:** 1315 S 8TH ST, DEMING, NM 88030-4949
- **Mailing address phone:** (575) 546-6591

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/06/2018
- **Last updated:** 11/06/2018