Organization
THE CROC DOC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD MICHAEL PARCO D.D.S (OWNER)
(719) 671-5617
Entity
Organization
Contact information
Practice address
7878 GATEWAY EAST BLVD, EL PASO, TX 79915
(575) 526-5522
Mailing address
1901 CALLE DE NINOS, LAS CRUCES, NM 88005
(575) 526-5522
(575) 523-5312
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
25762
TX
1223P0221X
Pediatric Dentistry
Primary
25762
TX
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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