I've been involved in the implementation of a Voip
network for a service provider that will presumably
scale to a few thousand CPEs (gateways).
We have 2 DGK (actually implemented by a couple
of routers in HSRP) 6 user GKs (each with an
alternate GK) to "manage" the CPEs, and 6
infrastructure GKs (again this is a fully redundant
solution with alternate GK), to manage the
infrastructure gateways (AS5300 and 5800 connected
to the PSTN).
I think the H.323 architecture is scalable enough
to support the kind of network you are talking
about. Just be wary of performance issues (calls
per second to be supported on the GK-GW) and on
the features / IOS releases. Some features which
are quite important have not been implemented yet
(as of 12.1.5T) and you'll have to wait for 12.2
hope this helps !
bye