Individual
DR. DAVID LICHTENWALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
604 S BLANCHARD ST, WHEATON, IL 60187-6702
(630) 668-8331
Mailing address
604 S BLANCHARD ST, WHEATON, IL 60187-6702
(630) 668-8331
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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