Organization
PRAIRIE VISTA FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PASCO W SCARPELLA D.D.S. (PRESIDENT)
(303) 335-8160
Entity
Organization
Contact information
Practice address
235 W FLETCHER ST, HAXTUN, CO 80731-2737
(303) 335-8160
Mailing address
235 W FLETCHER ST, HAXTUN, CO 80731-2737
(303) 335-8160
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
106313
CO
Other
Enumeration date
01/24/2014
Last updated
01/24/2014
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