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1730201047
DAVID LICHTENWALTER
WHEATON, IL
NPI
1730201047
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019-025808)
Enumeration Date
2007-04-06
Last Update Date
2007-07-08
Business Address
Dr. DAVID LICHTENWALTER DDS
604 S BLANCHARD ST
WHEATON, IL 60187-6702
Phone number: 630-668-8331
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Mailing Address
Dr. DAVID LICHTENWALTER DDS
604 S BLANCHARD ST
WHEATON, IL 60187-6702
Phone number: 630-668-8331
Copy
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