Individual
JOHN MILTON DOVORANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1488 E GREEN BAY ST, SHAWANO, WI 54166
(715) 524-8878
Mailing address
1488 E GREEN BAY ST, SHAWANO, WI 54166
(715) 524-8878
(715) 524-8886
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5000512015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33666700
—
WI
Enumeration date
12/18/2006
Last updated
10/15/2007
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