Organization
MAG SMILES LLC
Active
Other names
Black Diamond Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK GREENBURG DDS, MS (ORTHODONTIST)
(970) 632-9955
Entity
Organization
Contact information
Practice address
5451 E. HARMONY ROAD, BUILDING 2, UNIT 205, TIMNATH, CO 80547
(970) 632-9955
Mailing address
5451 E HARMONY RD, BLDG 2, UNIT 205, TIMNATH, CO 80547
(970) 632-9955
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/29/2025
Last updated
02/26/2026
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