Individual
DR. TODD M. PARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1901 CALLE DE NINOS, LAS CRUCES, NM 88005-3293
(575) 526-5522
(575) 523-5312
Mailing address
4435 ORGAN MESA LOOP, LAS CRUCES, NM 88011-8404
(575) 526-5522
(575) 523-5312
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
8306
CO
1223P0221X
Pediatric Dentistry
25762
TX
1223P0221X
Pediatric Dentistry
Primary
DD2445
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01316253
UNITED CONCORDIA
—
05
—
30259037
—
CO
05
—
31677592
—
NM
Enumeration date
08/15/2005
Last updated
10/29/2013
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