Search › Missouri › 1223G0001X
Charles Waller, D.D.S
NPI 1861528929 · on the registry since 2007
Practice
- Address
- 272 Blue Haven Beach Rd
Camdenton, MO 65020 - Phone
- (573) 873-5111
- Fax
- (573) 873-5111
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-12-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri