K L Hall Dmd PC

NPI #1144551169 in Canon City, Colorado

Provider Information

NPI Number: 1144551169
Entity Type: Organization
Organization Name: K L Hall Dmd PC
Primary Specialty: Dentist
Enumeration Date: Jan 15, 2010
Last Updated: Jul 23, 2019

Practice Location

Address: 410 MACON AVE
City: Canon City
State: Colorado
ZIP Code: 81212-3225
Phone: (719) 276-0117

Authorized Official

Name: MRS. KIMRA L HALL, DMD
Title: OWNER/PRESIDENT/DOCTOR
Phone: (719) 276-0117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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