| |
318 S Orchard Springs Dr Pueblo West CO 81007-6149 | |
(719) 924-8623 | |
(719) 924-9556 |
Full Name | |
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Speciality | Dentist |
Location | 318 S Orchard Springs Dr, Pueblo West, Colorado |
Authorized Official Name and Position | Mark T House (DOCTOR/OWNER) |
Authorized Official Contact | 7199248623 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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318 S Orchard Springs Dr Pueblo West CO 81007-6149 Ph: (719) 924-8623 | 318 S Orchard Springs Dr Pueblo West CO 81007-6149 Ph: (719) 924-8623 |
NPI Number | 1740511765 |
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Provider Enumeration Date | 01/15/2010 |
Last Update Date | 03/01/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740511765 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 106275 (Colorado) | Primary |
Canyon Crest Family Dental & Aesthetics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 332 S Orchard Springs Dr Ste 110, Pueblo West, CO 81007 Phone: 719-924-8858 | |
Rock Canyon Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 332 S Orchard Springs Dr Ste 110, Pueblo West, CO 81007 Phone: 719-924-8858 | |
Dental Specialists Of Southern Colorado, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 332 S Orchard Springs Dr Ste 110, Pueblo West, CO 81007 Phone: 719-569-5959 Fax: 719-300-5259 | |