Organization
MODERN DENTAL PROFESSIONALS CO PC
Active
Parent organization
MODERN DENTAL PROFESSIONALS CO PC
Other names
Bright Now Dental Aurora / Smoky Hill
Organization subpart
Yes
Provider details
NPI number
Legal business name
MODERN DENTAL PROFESSIONALS CO PC
Authorized official
MRS. ARACELLY MONTENEGRO (SR. MANAGER PAYER SOLUTIONS GROUP)
(714) 578-6358
Entity
Organization
Contact information
Practice address
23963 E PROSPECT AVE STE HV2BE, AURORA, CO 80016-5342
(303) 400-9898
(303) 400-9899
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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