| NPI | 1194819359 |
|---|---|
| Other Name | R. P. HANAWALT, DDS |
| Entity Type | Organization |
| Authorized Contact | RONALD P. HANAWALT President 970-493-4434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CO 203) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |