Jonathan Haller, DDS Valid NPI
Individual provider · Periodontics · Falcon, CO
- NPI
- 1609524792
- Type
- Individual (Type 1)
- Primary specialty
- Periodontics (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223P0300X
- License number
- DEN.00206235 (CO)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2022-03-16
- Last updated
- 2025-05-22
Practice location
7520 Bierstadt Hts Ste 125
Falcon, CO 80831-6177
(719) 654-0105