Organization
ENCANTO DENTAL GROUP OF NEW MEXICO II 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
3340 RINCONADA BLVD STE 2B, LAS CRUCES, NM 88011-7194
(575) 382-2105
Mailing address
810 S MAIN ST, LAS CRUCES, NM 88005-2999
(575) 524-8527
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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