Braces Braces Braces - Corydon Llc | |
2086 Old Hwy 135 Nw Corydon IN 47112-4016 | |
(502) 254-8500 | |
Not Available |
Full Name | Braces Braces Braces - Corydon Llc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 2086 Old Hwy 135 Nw, Corydon, Indiana |
Authorized Official Name and Position | William D Engilman (SOLE MBR) |
Authorized Official Contact | 5022548500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Braces Braces Braces - Corydon Llc 2086 Old Hwy 135 Nw Corydon IN 47112-4016 Ph: (502) 254-8500 | Braces Braces Braces - Corydon Llc 2086 Old Hwy 135 Nw Corydon IN 47112-4016 Ph: (502) 254-8500 |
NPI Number | 1093249328 |
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Provider Enumeration Date | 04/13/2017 |
Last Update Date | 04/13/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093249328 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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