Organization
EMBRACEKIDS III, LLC
Active
Other names
LODO Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
OWEN NIEBERG (CEO)
(917) 224-8171
Entity
Organization
Contact information
Practice address
1499 BLAKE ST SUITE 1-I, DENVER, CO 80202
(303) 872-2333
(303) 872-2330
Mailing address
1499 BLAKE ST SUITE 1-I, DENVER, CO 80202
(303) 872-2333
(303) 872-2330
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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