Organization
ENCHANTMENT ORTHODONTICS, LLC
Active
Organization
ENCHANTMENT ORTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD MICHAEL PARCO DDS MSD (OWNER AND PEDIATRIC DENTIST)
(575) 526-5522
Entity
Organization
Contact information
Practice address
1901 CALLE DE NINOS UNIT 3, LAS CRUCES, NM 88005-3293
(575) 201-7100
Mailing address
1901 CALLE DE NINOS UNIT 3, LAS CRUCES, NM 88005-3293
(575) 201-7100
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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