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Individual

DR. KEVIN MICHAEL BOEHM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
67 DANADA SQ E, WHEATON, IL 60187-8484
(630) 681-1280
(630) 681-1380
Mailing address
8020 WESTVIEW LN, WOODRIDGE, IL 60517-4136
(630) 910-1443

Taxonomy

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

Other

Enumeration date
11/07/2006
Last updated
07/08/2007
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