ENGILMAN ORTHODONTICS - LAGRANGE

LA GRANGE, KY
NPI1104090091
Entity TypeOrganization
Authorized ContactSTEPHEN JAMES
CFO
502-254-8504
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2008-04-22
Last Update Date2014-06-16
Business Address
ENGILMAN ORTHODONTICS - LAGRANGE
2005 S HIGHWAY 53 SUITE B
LA GRANGE, KY 40031-9109
Phone number: 502-222-4613
Mailing Address
ENGILMAN ORTHODONTICS - LAGRANGE
PO BOX 437169
LOUISVILLE, KY 40253-7169
Phone number: 502-222-4613
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