Organization
MODERN CHIROPRACTIC AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH CHARLES DIBELLA JR. DC (OWNER)
(386) 341-3677
Entity
Organization
Contact information
Practice address
6884 S UNIVERSITY BLVD, CENTENNIAL, CO 80122-1515
(386) 341-3677
Mailing address
6884 S UNIVERSITY BLVD, CENTENNIAL, CO 80122-1515
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0007655
CO
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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