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Organization
WHEATON FAMILY DENTISTRY, PC
Active
Organization
WHEATON FAMILY DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN MICHAEL BOEHM D.D.S. (OWNER)
(630) 681-1280
Entity
Organization
Contact information
Practice address
67 DANADA SQ E, WHEATON, IL 60187-8484
(630) 681-1280
(630) 681-1380
Mailing address
67 DANADA SQ E, WHEATON, IL 60187-8484
(630) 681-1280
(630) 681-1380
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
11/12/2006
Last updated
08/22/2020
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