Individual
DR. SHAWN TORLIEF ENGEBRETSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
841 E OCEAN BLVD, STUART, FL 34994-2427
(772) 223-0600
(772) 223-0617
Mailing address
1825 NW BRIGHT RIVER PT, STUART, FL 34994-9407
(772) 223-0600
(772) 223-0617
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN0009427
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
072275800
—
FL
Enumeration date
06/16/2006
Last updated
04/20/2010
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