Organization
MAG SMILES LLC
Active
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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