Modern Dental Profesionals Co PC
NPI #1124409552 in Castle Rock, Colorado
Provider Information
- NPI Number
- 1124409552
- Entity Type
- Organization
- Organization Name
- Modern Dental Profesionals Co PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MODERN DENTAL PROFESIONALS CO PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 11, 2015
- Last Updated
- Jun 11, 2015
Practice Location
- Address
- 188 FOUNDERS PKWY # A
- City
- Castle Rock
- State
- Colorado
- ZIP Code
- 80104-7528
- Phone
- (303) 688-0252
Authorized Official
- Name
- CRAIG MELLOR, DDS
- Title
- PC OWNER
- Phone
- (303) 209-2250
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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