Prairie Vista Family Dental | |
235 W Fletcher St Haxtun CO 80731-2737 | |
(303) 335-8160 | |
Not Available |
Full Name | Prairie Vista Family Dental |
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Speciality | Dentist |
Location | 235 W Fletcher St, Haxtun, Colorado |
Authorized Official Name and Position | Pasco W Scarpella (PRESIDENT) |
Authorized Official Contact | 3033358160 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Prairie Vista Family Dental 235 W Fletcher St Haxtun CO 80731-2737 Ph: (303) 335-8160 | Prairie Vista Family Dental 235 W Fletcher St Haxtun CO 80731-2737 Ph: (303) 335-8160 |
NPI Number | 1407279607 |
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Provider Enumeration Date | 01/24/2014 |
Last Update Date | 01/24/2014 |
Identifier | Type | State | Issuer |
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1407279607 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 106313 (Colorado) | Primary |