| Encanto Dental Group Of New Mexico Llc | |
|
3340 Rinconada Blvd Ste 2a Las Cruces NM 88011-7194 | |
| (575) 382-2054 | |
| Not Available |
| Full Name | Encanto Dental Group Of New Mexico Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3340 Rinconada Blvd Ste 2a, Las Cruces, New Mexico |
| Authorized Official Name and Position | Joshua Elliss (OWNER/DOCTOR) |
| Authorized Official Contact | 7025576423 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Encanto Dental Group Of New Mexico Llc 810 S Main St Las Cruces NM 88005-2999 Ph: (575) 524-8527 | Encanto Dental Group Of New Mexico Llc 3340 Rinconada Blvd Ste 2a Las Cruces NM 88011-7194 Ph: (575) 382-2054 |
| NPI Number | 1467168633 |
|---|---|
| Provider Enumeration Date | 01/30/2023 |
| Last Update Date | 01/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467168633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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