CHARLES RUSSELL SHOWALTER

WHEATON, IL
NPI1437278470
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019013679)
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
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