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
15159 E COLFAX AVE, AURORA, CO 80011-5705
(303) 341-5437
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
—
—
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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