Healthcare Provider Details

I. General information

NPI: 1346295706
Provider Name (Legal Business Name): CHARLOTTE L SENSENY DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23560 MADISON ST 212
TORRANCE CA
90505-4710
US

IV. Provider business mailing address

23560 MADISON ST 212
TORRANCE CA
90505-4710
US

V. Phone/Fax

Practice location:
  • Phone: 310-539-2282
  • Fax: 310-534-1634
Mailing address:
  • Phone: 310-539-2282
  • Fax: 310-534-1634

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number031381
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: