Organization
HOUSE FAMILY DENTAL PC
Active
Other names
House Family Dental PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK T HOUSE DMD (DOCTOR/OWNER)
(719) 924-8623
Entity
Organization
Contact information
Practice address
318 S ORCHARD SPRINGS DR, PUEBLO WEST, CO 81007-6149
(719) 924-8623
(719) 924-9556
Mailing address
318 S ORCHARD SPRINGS DR, PUEBLO WEST, CO 81007-6149
(719) 924-8623
(719) 924-9556
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
106275
CO
Other
Enumeration date
01/15/2010
Last updated
03/01/2016
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