Organization
JOSHUA L ELLISS DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA LEVI ELLISS DMD (OWNER)
(575) 522-0454
Entity
Organization
Contact information
Practice address
3015 HILLRISE DR, LAS CRUCES, NM 88011-4703
(575) 522-0454
(575) 522-3472
Mailing address
3015 HILLRISE DR, LAS CRUCES, NM 88011-4703
(575) 522-0454
(575) 522-3472
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD3482
NM
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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