Individual
DR. CHARLES ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
6417 34TH ST, STE 400, LUBBOCK, TX 79407
(806) 370-2005
Mailing address
6417 34TH ST, STE 400, LUBBOCK, TX 79407
(806) 370-2005
(806) 370-2014
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2014016152
MO
1223G0001X
General Practice Dentistry
Primary
32662
TX
Other
Enumeration date
06/07/2014
Last updated
12/08/2022
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