Organization
EMBRACEKIDS IV, LLC
Active
Other names
Colorado Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
OWEN NIEBERG (COO)
(303) 791-6646
Entity
Organization
Contact information
Practice address
9385 S COLORADO BLVD UNIT 101, HIGHLANDS RANCH, CO 80126-5241
(303) 791-6646
Mailing address
9385 S COLORADO BLVD UNIT 101, HIGHLANDS RANCH, CO 80126-5241
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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