Organization
PARKER MODERN DENTISTRY AND ORTHODONTICS, LLP
Active
Other names
Parker Modern Dentistry and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADFORD J O'NEILL (OWNER DOCTOR)
(303) 805-5703
Entity
Organization
Contact information
Practice address
9871 S PARKER RD STE 105, PARKER, CO 80134-8815
(303) 805-5703
(303) 805-1570
Mailing address
2860 MICHELLE FL 2, IRVINE, CA 92606-1008
(714) 368-2084
(714) 368-2077
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/02/2012
Last updated
10/03/2012
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