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1861528929
CHARLES MILTON WALLER
CAMDENTON, MO
NPI
1861528929
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MO 2002029904)
Enumeration Date
2007-02-25
Last Update Date
2007-12-31
Business Address
Dr. CHARLES MILTON WALLER D.D.S.
272 BLUE HAVEN BEACH RD
CAMDENTON, MO 65020-2123
Phone number: 573-873-5111
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Mailing Address
Dr. CHARLES MILTON WALLER D.D.S.
272 BLUE HAVEN BEACH RD
CAMDENTON, MO 65020-2123
Phone number: 573-873-5111
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