Organization
HOLLOW TREE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E. HACKLEY JR. D.D.S (DENTIST)
(719) 344-9574
Entity
Organization
Contact information
Practice address
2164 HOLLOW BROOK DR, COLORADO SPRINGS, CO 80918-1444
(719) 344-9574
Mailing address
2162 HOLLOW BROOK DR, COLORADO SPRINGS, CO 80918-1444
(719) 344-9574
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
CO
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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