Engilman Orthodontics - Lagrange

NPI #1104090091 in La Grange, Kentucky

Provider Information

NPI Number
1104090091
Entity Type
Organization
Organization Name
Engilman Orthodontics - Lagrange
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Apr 22, 2008
Last Updated
Jun 16, 2014

Practice Location

Address
2005 S HIGHWAY 53
Address 2
SUITE B
ZIP Code
40031-9109
Phone
(502) 222-4613

Authorized Official

Name
STEPHEN JAMES
Title
CFO
Phone
(502) 254-8504

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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