Dacc Dental Clinic

NPI #1922831551 in Las Cruces, New Mexico

Provider Information

NPI Number
1922831551
Entity Type
Organization
Organization Name
Dacc Dental Clinic
Subpart
Yes (part of a larger organization)
Parent Organization
REGENTS OF NEW MEXICO STATE UNIVERSITY
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Aug 20, 2024
Last Updated
Aug 18, 2025

Practice Location

Address
3400 S ESPINA ST RM 80
ZIP Code
88003-1290
Phone
(575) 528-7071

Authorized Official

Name
DR. ELMER ELEAZAR GONZALEZ, PHD. RDH
Title
DEPARTMENT CHAIR
Phone
(575) 528-7216

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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