Organization
CHILDREN'S DENTAL CLINIC OF LAS CRUCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD M PARCO DDS (OWNER)
(505) 526-5522
Entity
Organization
Contact information
Practice address
1901 CALLE DE NINOS, LAS CRUCES, NM 88005-3293
(719) 671-5617
Mailing address
1901 CALLE DE NINOS, LAS CRUCES, NM 88005-3293
(719) 671-5617
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD2445
NM
Other
Enumeration date
02/13/2007
Last updated
08/31/2010
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