DR. Mark T House, DMD
NPI #1710061940 in Pueblo West, Colorado
Provider Information
- NPI Number
- 1710061940
- Entity Type
- Individual
- Name
- DR. Mark T House, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Oct 24, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 318 ORCHARD SPRINGS DR
- City
- Pueblo West
- State
- Colorado
- ZIP Code
- 81007
- Phone
- (719) 647-1122
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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