| NPI | 1740214923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL SCOTT HALL President 303-989-1423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO hd1-00709) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |