| K L Hall Dmd Pc | |
|
410 Macon Ave Canon City CO 81212-3225 | |
| (719) 276-0117 | |
| (719) 276-0653 |
| Full Name | K L Hall Dmd Pc |
|---|---|
| Speciality | Dentist |
| Location | 410 Macon Ave, Canon City, Colorado |
| Authorized Official Name and Position | Kimra L Hall (OWNER/PRESIDENT/DOCTOR) |
| Authorized Official Contact | 7192760117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| K L Hall Dmd Pc 410 Macon Ave Canon City CO 81212-3225 Ph: (719) 276-0117 | K L Hall Dmd Pc 410 Macon Ave Canon City CO 81212-3225 Ph: (719) 276-0117 |
| NPI Number | 1144551169 |
|---|---|
| Provider Enumeration Date | 01/15/2010 |
| Last Update Date | 07/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144551169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8336 (Colorado) | Primary |
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