| Wheaton Family Dentistry, Pc | |
|
67 Danada Sq E Wheaton IL 60187-8484 | |
| (630) 681-1280 | |
| (630) 681-1380 |
| Full Name | Wheaton Family Dentistry, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 67 Danada Sq E, Wheaton, Illinois |
| Authorized Official Name and Position | Kevin Michael Boehm (OWNER) |
| Authorized Official Contact | 6306811280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wheaton Family Dentistry, Pc 67 Danada Sq E Wheaton IL 60187-8484 Ph: (630) 681-1280 | Wheaton Family Dentistry, Pc 67 Danada Sq E Wheaton IL 60187-8484 Ph: (630) 681-1280 |
| NPI Number | 1659442788 |
|---|---|
| Provider Enumeration Date | 11/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659442788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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