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Dr. Milton Frederick Johanboeke Jr., d.m.d.

Dentist, General Practice in Madison, IN. Individual provider (NPI-1).

NPI number1497920656
StatusActive
Last updated in NPPESApr 28, 2008

Details

NPI
1497920656
Entity type
Individual (NPI-1)
Name
Dr. Milton Frederick Johanboeke Jr.
Credential
d.m.d.
Sex
Male
Sole proprietor
No
Enumeration date
Apr 28, 2008
Last updated
Apr 28, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice12010214AINYes

Practice location

1105 Clifty Dr
Madison, IN 47250-1614

Phone 812-273-0207 · Fax 812-273-3366

Mailing address

1105 Clifty Dr
Madison, IN 47250-1614

Phone 812-273-0207

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Other General Practice Dentistry providers in Madison, IN

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