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Organization

MODERN DENTAL PROFESSIONALS CO, PC

Active
Other names
BRIGHTNOW COLORADO SPRINGS NORTH ACADEMY WOODMEN
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CRAIG MELLOR DDS (PRESIDENT)
(714) 428-2000
Entity
Organization

Contact information

Practice address
7136 N. ACADEMY BLVD, COLORADO SPRINGS, CO 80920
(714) 428-2000
Mailing address
7136 N. ACADEMY BLVD, COLORADO SPRINGS, CO 80920
(714) 428-2000

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
02/09/2012
Last updated
02/09/2012
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