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3003 W 104th Ave Unit 300 Westminster CO 80031-7752 | |
| (303) 410-9800 | |
| (303) 410-9811 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3003 W 104th Ave Unit 300, Westminster, 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 |
|---|---|
Po Box 25153 Santa Ana CA 92799-5153 Ph: (714) 578-6358 | 3003 W 104th Ave Unit 300 Westminster CO 80031-7752 Ph: (303) 410-9800 |
| NPI Number | 1053792440 |
|---|---|
| Provider Enumeration Date | 06/11/2015 |
| Last Update Date | 06/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053792440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 105734 (Colorado) | Primary |
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