Provider Demographics
NPI:1588760417
Name:HAKALA, CATHERINE HELEN (DDS)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:HELEN
Last Name:HAKALA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4200 E 8TH AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-3703
Mailing Address - Country:US
Mailing Address - Phone:303-321-8967
Mailing Address - Fax:
Practice Address - Street 1:4200 E 8TH AVE STE 200
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3703
Practice Address - Country:US
Practice Address - Phone:303-321-8967
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6643122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist