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
—
—
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/29/2006
Last updated
11/07/2018
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