| NPI | 1144551169 |
|---|---|
| Former Legal Business Name | ORCHARD SPRINGS DENTAL |
| Entity Type | Organization |
| Authorized Contact | KIMRA L HALL Owner/President/Doctor 719-276-0117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO 8336) |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2019-07-23 |