Organization
EMBRACE KIDS, A PROFESSIONAL LLC
Active
Other names
All About Braces
Organization subpart
No
Provider details
NPI number
Authorized official
YVETTE MADRIGAL (OFFICE MANAGER)
(303) 462-1462
Entity
Organization
Contact information
Practice address
2020 WADSWORTH BLVD, SUITE 18A, LAKEWOOD, CO 80214-5728
(303) 462-1462
Mailing address
2020 WADSWORTH BLVD, SUITE 18-A, LAKEWOOD, CO 80214-5728
(303) 462-1462
(303) 997-5646
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
6889
CO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9224
CO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
9257
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84923369
—
CO
Enumeration date
06/05/2008
Last updated
12/20/2010
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