Organization
EMBRACEKIDS, III LLC
Active
Other names
LoDo Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
OWEN NIEBERG (COO)
(303) 872-2333
Entity
Organization
Contact information
Practice address
1499 BLAKE ST STE 1I, DENVER, CO 80202-1356
(303) 872-2333
Mailing address
1499 BLAKE ST STE 1I, DENVER, CO 80202-1356
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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