Provider Demographics
NPI:1922144807
Name:EMBRACEABLE LLC
Entity Type:Organization
Organization Name:EMBRACEABLE LLC
Other - Org Name:COMFORT DENTAL BRACES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAUDE
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:BLOSS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-985-3686
Mailing Address - Street 1:13980 W EXPOSITION PL
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-2344
Mailing Address - Country:US
Mailing Address - Phone:303-985-3686
Mailing Address - Fax:303-985-3011
Practice Address - Street 1:8113 W 94TH AVE
Practice Address - Street 2:COMFORT DENTAL BRACES NW
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80021-4515
Practice Address - Country:US
Practice Address - Phone:303-432-9773
Practice Address - Fax:303-432-9792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1054441223X0400X
CO86371223X0400X
CO002801223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty