Modern Dental Professionals Co PC
NPI #1356722748 in Fort Collins, Colorado
Provider Information
- NPI Number
- 1356722748
- Entity Type
- Organization
- Organization Name
- Modern Dental Professionals Co PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MODERN DENTAL PROFESSIONALS CO PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 11, 2015
- Last Updated
- Jun 11, 2015
Practice Location
- Address
- 3531 S COLLEGE AVE UNIT 110
- City
- Fort Collins
- State
- Colorado
- ZIP Code
- 80525-2642
- Phone
- (970) 498-8706
Authorized Official
- Name
- DR. CRAIG A MELLOR, DDS
- Title
- PC OWNER
- Phone
- (303) 209-2250
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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