Parker Modern Dentistry and Orthodontics, LLP

NPI #1669723557 in Parker, Colorado

Provider Information

NPI Number: 1669723557
Entity Type: Organization
Organization Name: Parker Modern Dentistry and Orthodontics, LLP
Primary Specialty: Dentist
Enumeration Date: Oct 2, 2012
Last Updated: Oct 3, 2012

Practice Location

Address: 9871 S PARKER RD STE 105
City: Parker
State: Colorado
ZIP Code: 80134-8815
Phone: (303) 805-5703

Authorized Official

Name: DR. BRADFORD J O'NEILL
Title: OWNER DOCTOR
Phone: (303) 805-5703

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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