Organization
ENGILMAN ORTHODONTICS PLLC
Active
Other names
Braces Braces Braces
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN JAMES (CFO)
(502) 254-8504
Entity
Organization
Contact information
Practice address
134 EVERGREEN RD, SUITE 100, LOUISVILLE, KY 40243-1487
(502) 253-2201
(502) 253-2202
Mailing address
PO BOX 437169, LOUISVILLE, KY 40253-7169
(502) 253-2201
(502) 253-2202
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/22/2008
Last updated
06/16/2014
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