Southglenn Modern Dentistry, LLP

NPI #1194957415 in Centennial, Colorado

Provider Information

NPI Number: 1194957415
Entity Type: Organization
Organization Name: Southglenn Modern Dentistry, LLP
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 20, 2009
Last Updated: Aug 20, 2009

Practice Location

Address: 2330 E ARAPAHOE RD
Address 2: SUITE 900
City: Centennial
State: Colorado
ZIP Code: 80122-1508
Phone: (303) 730-3910

Authorized Official

Name: DR. CHARLES F RODGERS, DDS
Title: DDS
Phone: (303) 730-3910

Specialties & Taxonomy Codes

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

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