Organization
MILLIKAN DENTISTRY PC
Active
Other names
Millikan Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL J. MILLIKAN DDS (OWNER/DENTIST)
(812) 339-1671
Entity
Organization
Contact information
Practice address
1121 W 2ND ST, BLOOMINGTON, IN 47403-2160
(812) 339-1671
(812) 337-1231
Mailing address
1121 W 2ND ST, BLOOMINGTON, IN 47403-2160
(812) 339-1671
(812) 337-1231
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12016033
IN
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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