Modern Dental Professionals Co, PC

NPI #1902174725 in Arvada, Colorado

Provider Information

NPI Number: 1902174725
Entity Type: Organization
Organization Name: Modern Dental Professionals Co, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 7, 2011
Last Updated: Dec 7, 2011

Practice Location

Address: 7985 B WADSWORTH BLVD
City: Arvada
State: Colorado
ZIP Code: 80003
Phone: (303) 209-2250

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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