Organization
MODERN DENTAL PROFESSIONALS CO PC
Active
Parent organization
MODERN DENTAL PROFESSIONALS CO PC
Other names
Bright Now Dental Aurora
Organization subpart
Yes
Provider details
NPI number
Legal business name
MODERN DENTAL PROFESSIONALS CO PC
Authorized official
DR. CRAIG MELLOR DDS (PC OWNER)
(303) 400-3670
Entity
Organization
Contact information
Practice address
3551 S TOWER RD UNIT C, AURORA, CO 80013-3564
(303) 400-3669
(303) 400-3670
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
06/09/2015
Last updated
06/09/2015
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