Organization
SHAWN T ENGEBRETSEN DMD P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN T ENGEBRETSEN DMD PA (OWNER)
(772) 223-0600
Entity
Organization
Contact information
Practice address
841 E OCEAN BLVD, STUART, FL 34994-2427
(772) 223-0600
Mailing address
1825 NW BRIGHT RIVER PT, STUART, FL 34994-9407
(772) 692-1194
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN0009427
FL
Other
Enumeration date
04/01/2008
Last updated
04/08/2010
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