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Organization

EMBRACEKIDS IV, LLC

Active
Parent organization
EMBRACEKIDS IV, LLC DBA: COLORADO ORTHODONTICS
Other names
Colorado Orthodontics
Organization subpart
Yes

Provider details

NPI number
Legal business name
EMBRACEKIDS IV, LLC DBA: COLORADO ORTHODONTICS
Authorized official
OWEN NIEBERG (CEO)
(917) 224-8171
Entity
Organization

Contact information

Practice address
9385 S. COLORADO BLVD SUITE 101, HIGHLANDS RANCH, CO 80126
(303) 791-6646
(303) 683-6496
Mailing address
9385 S. COLORADO BLVD SUITE 101, HIGHLANDS RANCH, CO 80126
(303) 791-6646
(303) 683-6496

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Enumeration date
12/08/2020
Last updated
12/08/2020
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