DR. Kevin Michael Boehm, D.D.S.

NPI #1700955440 in Wheaton, Illinois

Provider Information

NPI Number: 1700955440
Entity Type: Individual
Name: DR. Kevin Michael Boehm, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Nov 7, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 67 DANADA SQ E
City: Wheaton
State: Illinois
ZIP Code: 60187-8484
Phone: (630) 681-1280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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