Modern Dental Professionals Co PC

NPI #1528449915 in Lakewood, Colorado

Provider Information

NPI Number: 1528449915
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: 7611 W COLFAX AVE UNIT D
City: Lakewood
State: Colorado
ZIP Code: 80214-5424
Phone: (303) 202-0900

Authorized Official

Name: DR. CRAIG A MELLOR, DDS
Title: PC OWNER
Phone: (303) 442-3434

Specialties & Taxonomy Codes

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

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