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1083999155
ENGILMAN ORTHODONTICS-JEFFERSONVILLE, LLC
JEFFERSONVILLE, IN
NPI
1083999155
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Entity Type
Organization
Authorized Contact
STEPHEN JAMES
CFO
502-254-8504
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2011-10-20
Last Update Date
2011-10-20
Business Address
ENGILMAN ORTHODONTICS-JEFFERSONVILLE, LLC
2917 E 10TH ST SUITE 102
JEFFERSONVILLE, IN 47130-6916
Phone number: 812-284-2272
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Mailing Address
ENGILMAN ORTHODONTICS-JEFFERSONVILLE, LLC
PO BOX 437169
LOUISVILLE, KY 40253-7169
Phone number:
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