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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