Individual
DR. CHARLES RUSSELL PFISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
698 E WASHINGTON ST, MEDINA, OH 44256
(330) 725-4220
(330) 725-4351
Mailing address
698 E WASHINGTON ST, MEDINA, OH 44256
(330) 725-4220
(330) 725-4351
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
16973
OH
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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