Encanto Dental Group of New Mexico II LLC
NPI #1376259515 in Las Cruces, New Mexico
Provider Information
- NPI Number
- 1376259515
- Entity Type
- Organization
- Organization Name
- Encanto Dental Group of New Mexico II LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 30, 2023
- Last Updated
- Jan 30, 2023
Practice Location
- Address
- 3340 RINCONADA BLVD STE 2B
- City
- Las Cruces
- State
- New Mexico
- ZIP Code
- 88011-7194
- Phone
- (575) 382-2105
Authorized Official
- Name
- JOSHUA ELLISS, DMD
- Title
- OWNER/DOCTOR
- Phone
- (702) 557-6423
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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