Individual
DR. MILTON FREDERICK JOHANBOEKE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1105 CLIFTY DR, MADISON, IN 47250-1614
(812) 273-0207
(812) 273-3366
Mailing address
1105 CLIFTY DR, MADISON, IN 47250-1614
(812) 273-0207
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010214A
IN
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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