Modern Dental Profesionals Co PC
Dentist, General Practice in Castle Rock, CO. Organization (NPI-2).
NPI number1124409552
StatusActive
Last updated in NPPESJun 11, 2015
Details
- NPI
- 1124409552
- Entity type
- Organization (NPI-2)
- Legal business name
- Modern Dental Profesionals Co PC
- Organization subpart
- Yes
- Enumeration date
- Jun 11, 2015
- Last updated
- Jun 11, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 105734 | CO | Yes |
Other names
- Brightn Now Dental - Castle Rock (Doing Business As)
Practice location
188 Founders Pkwy # ACastle Rock, CO 80104-7528
Phone 303-688-0252 · Fax 303-660-9872
Mailing address
Po Box 25153Santa Ana, CA 92799-5153
Phone 714-578-6358 · Fax 949-242-2631
Authorized official
Craig Mellor
PC Owner
3032092250
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