CHARLES RUSSELL SHOWALTER

WHEATON, IL
NPI1437278470
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2007-03-29
Last Update Date2007-07-08
Business Address
DR. CHARLES RUSSELL SHOWALTER DDS
300 S WEST ST
WHEATON, IL 60187-5021
Phone number: 630-665-0650
Mailing Address
DR. CHARLES RUSSELL SHOWALTER DDS
300 S WEST ST
WHEATON, IL 60187-5021
Phone number: 630-665-0650