Organization
MODERN DENTAL PROFESIONALS CO PC
Active
Parent organization
MODERN DENTAL PROFESIONALS CO PC
Other names
Brightn Now Dental - Castle Rock
Organization subpart
Yes
Provider details
NPI number
Legal business name
MODERN DENTAL PROFESIONALS CO PC
Authorized official
CRAIG MELLOR DDS (PC OWNER)
(303) 209-2250
Entity
Organization
Contact information
Practice address
188 FOUNDERS PKWY # A, CASTLE ROCK, CO 80104-7528
(303) 688-0252
(303) 660-9872
Mailing address
PO BOX 25153, SANTA ANA, CA 92799-5153
(714) 578-6358
(949) 242-2631
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
105734
CO
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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