CHARLES MILTON WALLER

CAMDENTON, MO
NPI1861528929
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MO  2002029904)
Enumeration Date2007-02-25
Last Update Date2007-12-31
Business Address
Dr. CHARLES MILTON WALLER D.D.S.
272 BLUE HAVEN BEACH RD
CAMDENTON, MO 65020-2123
Phone number: 573-873-5111
Mailing Address
Dr. CHARLES MILTON WALLER D.D.S.
272 BLUE HAVEN BEACH RD
CAMDENTON, MO 65020-2123
Phone number: 573-873-5111