Individual
DR. CHARLOTTE ELIZABETH ROBERSON-INOUYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
11239 TAMPA AVE, SUITE 208, NORTHRIDGE, CA 91326-1615
(818) 368-6266
(818) 366-2491
Mailing address
11239 TAMPA AVE, SUITE 208, NORTHRIDGE, CA 91326-1615
(818) 368-6266
(818) 366-2491
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29997
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29997
CALIFORNIA DENTAL LICENSE
CA
Enumeration date
11/20/2006
Last updated
07/08/2007
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