Organization
EMBRACE KIDS, A PROFESSIONAL LLC
Active
Parent organization
EMBRACE KIDS, A PROFESSIONAL LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMBRACE KIDS, A PROFESSIONAL LLC
Authorized official
OWEN NIEBERG (COO)
(303) 476-6233
Entity
Organization
Contact information
Practice address
2020 WADSWORTH BLVD STE 18A, LAKEWOOD, CO 80214-5730
(303) 462-1462
Mailing address
2020 WADSWORTH BLVD STE 18A, LAKEWOOD, CO 80214-5730
(303) 462-1462
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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