| NPI | 1740511765 |
|---|---|
| Former Legal Business Name | HOUSE FAMILY DENTAL PC |
| Entity Type | Organization |
| Authorized Contact | MARK T HOUSE Doctor/Owner 719-924-8623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO 106275) |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2016-03-01 |