Most Relevant Information
Provider Data
NPI Number: | 1003021908 |
Provider Name: | CHARLES WAITSEL ROBERTS DDS |
Entity Type: | Individual |
Taxonomy Code: | 1223P0221X |
Specialty: | Dentist |
License Number: | 7023 |
Most Important Dates
Enumeration Date: | 05/14/2007 |
Last Updated: | 07/09/2007 |
Provider Practice Location
142 PROFESSIONAL PARK DR
SUITE 200
MOORESVILLE
NC
281175537
Practice Location Phone/Fax
Phone: | 7046645437 |
Fax: | 7046637912 |
Provider Mailing Location
142 PROFESSIONAL PARK DR
SUITE 200
MOORESVILLE
NC
281175537
Provider Mailing Phone/Fax
Phone: | 7046645437 |
Fax: | 7046637912 |