Individual
DR. CHARLES RUSSELL SHOWALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
300 S WEST ST, WHEATON, IL 60187-5021
(630) 665-0650
(630) 665-0687
Mailing address
300 S WEST ST, WHEATON, IL 60187-5021
(630) 665-0650
(630) 665-0687
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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