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1912919010
CHARLES VERNON ENWALD
MADISON, WI
NPI
1912919010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WI 5001839)
Enumeration Date
2006-08-13
Last Update Date
2012-08-14
Business Address
-- CHARLES VERNON ENWALD DDS
3099 E WASHINGTON AVE
MADISON, WI 53704-4338
Phone number: 608-240-5120
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Mailing Address
-- CHARLES VERNON ENWALD DDS
3099 E WASHINGTON AVE
MADISON, WI 53704-4338
Phone number: 608-240-5120
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