Organization
GREELEY MODERN DENTISTRY, LLP
Active
Other names
Greeley Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES F RODGERS DDS (OWNER DOCTOR)
(970) 353-4848
Entity
Organization
Contact information
Practice address
6632 10TH STREET SUITE 101, GREELEY, CO 80634
(970) 353-4848
(970) 356-5752
Mailing address
2860 MICHELLE FL 2, IRVINE, CA 92606-1008
(714) 368-2077
(714) 368-2092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/01/2011
Last updated
07/01/2011
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