# EMBRACEKIDS V A PROFESSIONAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124581665
- **Authorized official:** OWEN NIEBERG (COO)
- **Authorized official phone:** (917) 224-8171

## Contact information

- **Practice address:** 2250 S MONACO PKWY, DENVER, CO 80222-5814
- **Practice address phone:** (303) 476-6233
- **Mailing address:** 5865 E POWERS AVE, GREENWOOD VILLAGE, CO 80111-1545
- **Mailing address phone:** (303) 476-6233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/11/2019
- **Last updated:** 04/11/2019