Provider Demographics
NPI:1366884280
Name:MILCH, CHARLOTTE HENNIGAR (DDS)
Entity type:Individual
Prefix:DR
First Name:CHARLOTTE
Middle Name:HENNIGAR
Last Name:MILCH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8715 EL CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:ATASCADERO
Mailing Address - State:CA
Mailing Address - Zip Code:93422-5368
Mailing Address - Country:US
Mailing Address - Phone:310-998-7777
Mailing Address - Fax:
Practice Address - Street 1:8715 EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:ATASCADERO
Practice Address - State:CA
Practice Address - Zip Code:93422-5368
Practice Address - Country:US
Practice Address - Phone:805-466-6998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-19
Last Update Date:2020-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA62898122300000X
NY0567201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice