| Prairie Vista Family Dental | |
|
235 W Fletcher St Haxtun CO 80731-2737 | |
| (303) 335-8160 | |
| Not Available |
| Full Name | Prairie Vista Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 235 W Fletcher St, Haxtun, Colorado |
| Authorized Official Name and Position | Pasco W Scarpella (PRESIDENT) |
| Authorized Official Contact | 3033358160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Vista Family Dental 235 W Fletcher St Haxtun CO 80731-2737 Ph: (303) 335-8160 | Prairie Vista Family Dental 235 W Fletcher St Haxtun CO 80731-2737 Ph: (303) 335-8160 |
| NPI Number | 1407279607 |
|---|---|
| Provider Enumeration Date | 01/24/2014 |
| Last Update Date | 01/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407279607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 106313 (Colorado) | Primary |