House Family Dental PC
NPI #1164765434 in Canon City, Colorado
Provider Information
- NPI Number
- 1164765434
- Entity Type
- Organization
- Organization Name
- House Family Dental PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 4, 2013
- Last Updated
- Apr 4, 2013
Practice Location
- Address
- 1227 S 9TH ST
- City
- Canon City
- State
- Colorado
- ZIP Code
- 81212-4211
- Phone
- (719) 924-8623
Authorized Official
- Name
- DR. MARK HOUSE
- Title
- PRESIDENT
- Phone
- (719) 924-8623
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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