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Organization
ENCANTO DENTAL GROUP OF NEW MEXICO II LLC
Active
Organization
ENCANTO DENTAL GROUP OF NEW MEXICO II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA ELLISS DMD (OWNER/DOCTOR)
(702) 557-6423
Entity
Organization
Contact information
Practice address
3340 RINCONADA BLVD STE 2B, LAS CRUCES, NM 88011-7194
(575) 382-2105
Mailing address
810 S MAIN ST, LAS CRUCES, NM 88005-2999
(575) 524-8527
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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