Milton Frederick Johanboeke JR. D.M.D.

NPI 1497920656 - Dentist - 1223G0001X

NPI Details
NPI 1497920656
Gender Male
Enumeration Date 04/28/2008
Last Updated 04/28/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1105 CLIFTY DR
MADISON IN, 47250-1614, US
Phone (812) 273-0207
Fax (812) 273-3366
Business Location
1105 CLIFTY DR
MADISON IN, 47250-1614, US
Phone (812) 273-0207
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Indiana
License Number 12010214A
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According to our database, Dr. Milton Frederick Johanboeke JR. D.M.D. NPI is 1497920656, taxonomy code is 1223G0001X and license number is 12010214A, license state is located at Indiana. Milton Frederick Johanboeke JR. D.M.D. physically located at 1105 Clifty Dr, Madison IN, 47250-1614. NPI Number Milton Frederick Johanboeke JR. D.M.D. has the Individual type.

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1497920656 NPI number is provided on an as is basis without warranty of any kind. 1497920656 is maintained by the National Plan & Provider Enumeration System. The contents of Milton Frederick Johanboeke JR. D.M.D. are for informational purposes only.