House Family Dental PC

NPI #1740511765 in Pueblo West, Colorado

Provider Information

NPI Number: 1740511765
Entity Type: Organization
Organization Name: House Family Dental PC
Primary Specialty: Dentist
Enumeration Date: Jan 15, 2010
Last Updated: Mar 1, 2016

Practice Location

Address: 318 S ORCHARD SPRINGS DR
City: Pueblo West
State: Colorado
ZIP Code: 81007-6149
Phone: (719) 924-8623

Authorized Official

Name: DR. MARK T HOUSE, DMD
Title: DOCTOR/OWNER
Phone: (719) 924-8623

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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