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3865 E Cherry Creek North Dr Ste 200 Denver CO 80209-3806 | |
(303) 321-1181 | |
(303) 321-7520 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 3865 E Cherry Creek North Dr Ste 200, Denver, Colorado |
Authorized Official Name and Position | Craig A Mellor (PC OWNER) |
Authorized Official Contact | 3032092250 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 25153 Santa Ana CA 92799-5153 Ph: (714) 578-6358 | 3865 E Cherry Creek North Dr Ste 200 Denver CO 80209-3806 Ph: (303) 321-1181 |
NPI Number | 1457732844 |
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Provider Enumeration Date | 06/11/2015 |
Last Update Date | 06/11/2015 |
Identifier | Type | State | Issuer |
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1457732844 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 105734 (Colorado) | Primary |
4th Avenue Family Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 390 University Blvd, Denver, CO 80206 Phone: 303-333-0771 Fax: 303-333-0779 | |
Jan B Buckstein Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1660 S Albion St, Suite #718, Denver, CO 80222 Phone: 303-757-7759 Fax: 303-757-1501 | |