Prairie Vista Family Dental

NPI #1407279607 in Haxtun, Colorado

Provider Information

NPI Number: 1407279607
Entity Type: Organization
Organization Name: Prairie Vista Family Dental
Primary Specialty: Dentist
Enumeration Date: Jan 24, 2014
Last Updated: Jan 24, 2014

Practice Location

Address: 235 W FLETCHER ST
City: Haxtun
State: Colorado
ZIP Code: 80731-2737
Phone: (303) 335-8160

Authorized Official

Name: DR. PASCO W SCARPELLA, D.D.S.
Title: PRESIDENT
Phone: (303) 335-8160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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