Modern Dental Professionals Co,pc

NPI #1487925129 in Thornton, Colorado

Provider Information

NPI Number: 1487925129
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: 951 E 120TH AVE
Address 2: UNIT D
City: Thornton
State: Colorado
ZIP Code: 80233-5718
Phone: (303) 305-4466

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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