Organization
MODERN DENTAL PROFESSIONALS CO PC
Active
Parent organization
MODERN DENTAL PROFESSIONALS CO PC
Other names
Bright Now Dental - Lakewood
Organization subpart
Yes
Provider details
NPI number
Legal business name
MODERN DENTAL PROFESSIONALS CO PC
Authorized official
DR. CRAIG A MELLOR DDS (PC OWNER)
(303) 442-3434
Entity
Organization
Contact information
Practice address
7611 W COLFAX AVE UNIT D, LAKEWOOD, CO 80214-5424
(303) 202-0900
(303) 202-0901
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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