| NPI | 1144733510 |
|---|---|
| Doing Business As | ENGAGE ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | LYNN HIETPAS Administrative Assistant 920-739-5822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2017-11-08 |