Individual
DR. JOSHUA LEVI ELLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3015 HILLRISE DR, LAS CRUCES, NM 88011-4703
(575) 522-0454
(575) 522-3472
Mailing address
3015 HILLRISE DR, LAS CRUCES, NM 88011-4703
(575) 522-0454
(575) 522-3472
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
25432
TX
122300000X
Dentist
Primary
DD3482
NM
Other
Enumeration date
06/02/2010
Last updated
10/05/2020
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