Modern Dental Professionals Co, PC

NPI #1013288752 in Parker, Colorado

Provider Information

NPI Number: 1013288752
Entity Type: Organization
Organization Name: Modern Dental Professionals Co, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 25, 2012
Last Updated: Jan 25, 2012

Practice Location

Address: 11183 S PARKER RD
Address 2: UNIT C
City: Parker
State: Colorado
ZIP Code: 80134-4904
Phone: (303) 840-2204

Authorized Official

Name: DR. CRAIG MELLOR, DDS
Title: PRESIDENT
Phone: (714) 428-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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