Individual
DR. CHARLES R RESTEMAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
16 BIRCH AVE NE, MENAHGA, MN 56464-0130
(218) 564-5192
(218) 564-5019
Mailing address
PO BOX 130, 16 BIRCH AVE NE, MENAHGA, MN 56464-0130
(218) 564-5192
(218) 564-5019
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8525
MN
Other
Enumeration date
10/12/2005
Last updated
07/08/2007
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