| Desert Peaks Dental Llc | |
|
810 S Main St Las Cruces NM 88005-2999 | |
| (575) 524-8527 | |
| Not Available |
| Full Name | Desert Peaks Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 810 S Main St, Las Cruces, New Mexico |
| Authorized Official Name and Position | Joshua Elliss (OWNER) |
| Authorized Official Contact | 5753822054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Peaks Dental Llc 810 S Main St Las Cruces NM 88005-2999 Ph: (575) 524-8527 | Desert Peaks Dental Llc 810 S Main St Las Cruces NM 88005-2999 Ph: (575) 524-8527 |
| NPI Number | 1538716204 |
|---|---|
| Provider Enumeration Date | 08/19/2019 |
| Last Update Date | 08/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538716204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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