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DR. MICHAEL WILLIAM KOEHNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
319 E ROOSEVELT RD, WHEATON, IL 60187-5526
(630) 665-5555
(630) 665-5510
Mailing address
319 E ROOSEVELT RD, WHEATON, IL 60187-5526
(630) 665-5555
(630) 665-5510

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
IL

Other

Enumeration date
07/25/2006
Last updated
07/08/2007
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