Individual
AMANDA T HALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7935 CONSTITUTION AVE STE 110, COLORADO SPRINGS, CO 80951-8903
(719) 596-9668
Mailing address
6523 WHISTLE BAY DR, COLORADO SPRINGS, CO 80923-6294
(563) 209-8695
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DEN.00204374
CO
Other
Enumeration date
04/08/2019
Last updated
11/15/2025
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