| Boehm Dental Care | |
|
2015 Ogden Ave Suite 2 Lisle IL 60532-1549 | |
| (630) 963-1922 | |
| (630) 963-4243 |
| Full Name | Boehm Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2015 Ogden Ave, Lisle, Illinois |
| Authorized Official Name and Position | Richared A Boehm (PRESIDENT) |
| Authorized Official Contact | 6309631922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boehm Dental Care 2015 Ogden Ave Suite 2 Lisle IL 60532-1549 Ph: (630) 963-1922 | Boehm Dental Care 2015 Ogden Ave Suite 2 Lisle IL 60532-1549 Ph: (630) 963-1922 |
| NPI Number | 1841525003 |
|---|---|
| Provider Enumeration Date | 10/06/2009 |
| Last Update Date | 10/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841525003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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