| House Family Dental Pc | |
|
1227 S 9th St Canon City CO 81212-4211 | |
| (719) 924-8623 | |
| Not Available |
| Full Name | House Family Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1227 S 9th St, Canon City, Colorado |
| Authorized Official Name and Position | Mark House (PRESIDENT) |
| Authorized Official Contact | 7199248623 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| House Family Dental Pc 1227 S 9th St Canon City CO 81212-4211 Ph: () - | House Family Dental Pc 1227 S 9th St Canon City CO 81212-4211 Ph: (719) 924-8623 |
| NPI Number | 1164765434 |
|---|---|
| Provider Enumeration Date | 04/04/2013 |
| Last Update Date | 04/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164765434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 106275 (Colorado) | Primary |
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