CHARLES VERNON ENWALD

MADISON, WI
NPI1912919010
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  5001839)
Enumeration Date2006-08-13
Last Update Date2012-08-14
Business Address
-- CHARLES VERNON ENWALD DDS
3099 E WASHINGTON AVE
MADISON, WI 53704-4338
Phone number: 608-240-5120
Mailing Address
-- CHARLES VERNON ENWALD DDS
3099 E WASHINGTON AVE
MADISON, WI 53704-4338
Phone number: 608-240-5120