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Organization

K L HALL DMD PC

Active
Other names
Orchard Springs Dental
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KIMRA L HALL DMD (OWNER/PRESIDENT/DOCTOR)
(719) 276-0117
Entity
Organization

Contact information

Practice address
410 MACON AVE, CANON CITY, CO 81212-3225
(719) 276-0117
(719) 276-0653
Mailing address
410 MACON AVE, CANON CITY, CO 81212-3225
(719) 276-0117
(719) 276-0653

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8336
CO

Other

Enumeration date
01/15/2010
Last updated
07/23/2019
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