| Embracekids V A Professional Llc | |
|
5375 W 38th Ave Wheat Ridge CO 80212-7058 | |
| (303) 476-6292 | |
| Not Available |
| Full Name | Embracekids V A Professional Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5375 W 38th Ave, Wheat Ridge, Colorado |
| Authorized Official Name and Position | Owen Nieberg (COO) |
| Authorized Official Contact | 9172248171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Embracekids V A Professional Llc 5865 E Powers Ave Greenwood Village CO 80111-1545 Ph: (303) 907-7978 | Embracekids V A Professional Llc 5375 W 38th Ave Wheat Ridge CO 80212-7058 Ph: (303) 476-6292 |
| NPI Number | 1861035412 |
|---|---|
| Provider Enumeration Date | 10/25/2019 |
| Last Update Date | 10/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861035412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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