Organization
BRACES BRACES BRACES - CORYDON LLC
Active
Organization
BRACES BRACES BRACES - CORYDON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM D ENGILMAN DMD (SOLE MBR)
(502) 254-8500
Entity
Organization
Contact information
Practice address
2086 OLD HWY 135 NW, CORYDON, IN 47112-4016
(502) 254-8500
Mailing address
2086 OLD HWY 135 NW, CORYDON, IN 47112-4016
(502) 254-8500
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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