Individual
CHANELLE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2737 DEVONSHIRE PL NW STE A, WASHINGTON, DC 20008-3479
(202) 232-1116
Mailing address
1205 HALF ST SE APT 817, WASHINGTON, DC 20003-4581
(757) 300-8342
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401417083
VA
122300000X
Dentist
17170
MD
122300000X
Dentist
Primary
DEN1002161
DC
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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