Individual
MR. JED MARLIN INMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
800 OFFICE PARK DR, BOONVILLE, IN 47601-8601
(812) 897-4889
(812) 897-8113
Mailing address
800 OFFICE PARK DR, BOONVILLE, IN 47601-8601
(812) 897-4889
(812) 897-8113
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7613
IN
Other
Enumeration date
10/30/2006
Last updated
07/08/2007
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