Provider Demographics
NPI:1346295706
Name:SENSENY, CHARLOTTE L (DMD)
Entity Type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:L
Last Name:SENSENY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23560 MADISON ST
Mailing Address - Street 2:212
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-4710
Mailing Address - Country:US
Mailing Address - Phone:310-539-2282
Mailing Address - Fax:310-534-1634
Practice Address - Street 1:23560 MADISON ST
Practice Address - Street 2:212
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4710
Practice Address - Country:US
Practice Address - Phone:310-539-2282
Practice Address - Fax:310-534-1634
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0313811223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA031381OtherDENTAL BOARD