Organization
DESERT PEAKS DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA ELLISS DMD (OWNER)
(575) 382-2054
Entity
Organization
Contact information
Practice address
810 S MAIN ST, LAS CRUCES, NM 88005-2999
(575) 524-8527
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
08/19/2019
Last updated
08/19/2019
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