Organization
MODERN DENTAL PROFESSIONALS CO, PC
Active
Other names
BRIGHTNOW PARKER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG MELLOR DDS (PRESIDENT)
(714) 428-2000
Entity
Organization
Contact information
Practice address
11183 S PARKER RD, UNIT C, PARKER, CO 80134-4904
(303) 840-2204
Mailing address
11183 S PARKER RD, UNIT C, PARKER, CO 80134-4904
(303) 840-2204
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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