Enchantment Orthodontics, Llc | |
1901 Calle De Ninos Unit 3 Las Cruces NM 88005-3293 | |
(575) 201-7100 | |
Not Available |
Full Name | Enchantment Orthodontics, Llc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 1901 Calle De Ninos Unit 3, Las Cruces, New Mexico |
Authorized Official Name and Position | Todd Michael Parco (OWNER AND PEDIATRIC DENTIST) |
Authorized Official Contact | 5755265522 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Enchantment Orthodontics, Llc 1901 Calle De Ninos Unit 3 Las Cruces NM 88005-3293 Ph: (575) 201-7100 | Enchantment Orthodontics, Llc 1901 Calle De Ninos Unit 3 Las Cruces NM 88005-3293 Ph: (575) 201-7100 |
NPI Number | 1194039743 |
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Provider Enumeration Date | 08/05/2010 |
Last Update Date | 08/05/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194039743 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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