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BOOE PEDIATRIC DENTISTRY

Dental Care Facilities

Linton, Indiana

Provider NPI: 1073067328

Organization Information:
Organization Name:  BOOE PEDIATRIC DENTISTRY
Organization is not Subpart
Authorized Official:  MEGAN RENEE BOOE  PEDIATRIC DENTIST  812-8475101

Practice Location:
1206 N 1000 W SUITE A LINTON, IN 47441 US
Tel: 812-847-5101  Fax: --

Business Mailing Address:
1206 N 1000 W SUITE A LINTON, IN 47441 US
Tel: 812-847-5101  Fax: --

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QD0000XAmbulatory Health Care Facilities
Clinic/Center
Dental
IN12012174A





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