| House Family Dental Pc | |
|
318 S Orchard Springs Dr Pueblo West CO 81007-6149 | |
| (719) 924-8623 | |
| (719) 924-9556 |
| Full Name | House Family Dental Pc |
|---|---|
| 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 |
|---|---|
| House Family Dental Pc 318 S Orchard Springs Dr Pueblo West CO 81007-6149 Ph: (719) 924-8623 | House Family Dental Pc 318 S Orchard Springs Dr Pueblo West CO 81007-6149 Ph: (719) 924-8623 |
| NPI Number | 1740511765 |
|---|---|
| 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 |
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