Individual
CHARLES A ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
75-1028 HENRY ST, STE. 203, KAILUA KONA, HI 96740-1693
(808) 329-4425
(808) 329-0872
Mailing address
555 W BENJAMIN HOLT DR, BLDG. B, STOCKTON, CA 95207-3839
(209) 476-4700
(209) 478-6890
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1065
HI
Other
Enumeration date
03/10/2009
Last updated
03/10/2009
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