| NPI | 1073772935 |
|---|---|
| Doing Business As | K BOEHM DDS & ASSOC PC |
| Entity Type | Organization |
| Authorized Contact | KEVIN MICHAEL BOEHM Owner 847-884-1220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019023670) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-06-05 |