DR. Milton Frederick Johanboeke JR., D.M.D.

NPI #1497920656 in Madison, Indiana

Provider Information

NPI Number: 1497920656
Entity Type: Individual
Name: DR. Milton Frederick Johanboeke JR., D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Apr 28, 2008
Last Updated: Apr 28, 2008

Practice Location

Address: 1105 CLIFTY DR
City: Madison
State: Indiana
ZIP Code: 47250-1614
Phone: (812) 273-0207

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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