Individual
DR. GEORGE WAYNE HALTOM III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
406 S HYLAND PARK DRIVE, SUITE B, GLENWOOD SPRINGS, CO 81601-4274
(970) 945-9644
(970) 945-0760
Mailing address
406 S HYLAND PARK DRIVE, SUITE B, GLENWOOD SPRINGS, CO 81601-4274
(970) 945-9644
(970) 945-0760
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
HD104468
CO
Other
Enumeration date
10/24/2006
Last updated
02/19/2008
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