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Organization

EMBRACEKIDS V A PROFESSIONAL LLC

Active
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Organization

EMBRACEKIDS V A PROFESSIONAL LLC

Active
Other names
Kids Choice Dental
Organization subpart
No

Provider details

NPI number
Authorized official
OWEN NIEBERG (COO)
(917) 224-8171
Entity
Organization

Contact information

Practice address
5375 W 38TH AVE, WHEAT RIDGE, CO 80212-7058
(303) 476-6292
Mailing address
5865 E POWERS AVE, GREENWOOD VILLAGE, CO 80111-1545
(303) 907-7978

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL

Other

Enumeration date
10/25/2019
Last updated
10/25/2019
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