Organization
BOOE PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEGAN RENEE BOOE DDS, MSD (PEDIATRIC DENTIST)
(812) 847-5101
Entity
Organization
Contact information
Practice address
1206 N 1000 W, SUITE A, LINTON, IN 47441-9696
(812) 847-5101
Mailing address
1206 N 1000 W, SUITE A, LINTON, IN 47441-9696
(812) 847-5101
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12012174A
IN
Other
Enumeration date
08/03/2016
Last updated
10/10/2016
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