# ENCANTO DENTAL GROUP OF NEW MEXICO II LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376259515
- **Authorized official:** JOSHUA ELLISS DMD (OWNER/DOCTOR)
- **Authorized official phone:** (702) 557-6423

## Contact information

- **Practice address:** 3340 RINCONADA BLVD STE 2B, LAS CRUCES, NM 88011-7194
- **Practice address phone:** (575) 382-2105
- **Mailing address:** 810 S MAIN ST, LAS CRUCES, NM 88005-2999
- **Mailing address phone:** (575) 524-8527

## Taxonomy

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

## Other

- **Enumeration date:** 01/30/2023
- **Last updated:** 01/30/2023