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Organization
TAFOLLA AND RIKLI FAMILY DENTISTRY
Active
Organization
TAFOLLA AND RIKLI FAMILY DENTISTRY
Active
Other names
Peak Vista Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME TAFOLLA DDS (DENTIST/OWNER)
(719) 598-6680
Entity
Organization
Contact information
Practice address
5478 TOMAH DRIVE, COLORADO SPRINGS, CO 80918-1928
(719) 598-6680
(719) 598-4037
Mailing address
5478 TOMAH DRIVE, COLORADO SPRINGS, CO 80918
(719) 598-6680
(719) 598-4037
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
NULL
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/29/2006
Last updated
11/07/2018
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