Individual
DR. CHARLES LEONARD ROBERTSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1690 S OHIO ST, MARTINSVILLE, IN 46151-3317
(765) 342-8435
Mailing address
1690 S OHIO ST, MARTINSVILLE, IN 46151-3317
(765) 342-8435
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12007059A
IN
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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