Organization
ENCANTO DENTAL GROUP OF TEXAS 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
1816 N ZARAGOZA RD STE 103-104, EL PASO, TX 79936-8019
(575) 524-8527
Mailing address
810 S MAIN ST, LAS CRUCES, NM 88005-2999
(240) 988-2305
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
02/16/2023
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