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Organization
AMBER DENTAL PC
Active
Organization
AMBER DENTAL PC
Active
Other names
Amber Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL KOEHNE DDS (PRESIDENT/DENTIST)
(630) 665-5555
Entity
Organization
Contact information
Practice address
319 E ROOSEVELT RD, WHEATON, IL 60187-5526
(630) 665-5555
Mailing address
319 E ROOSEVELT RD, WHEATON, IL 60187-5526
(630) 665-5555
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019019448
IL
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
03/29/2018
Last updated
11/06/2025
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