Individual
DR. EDWARD CHARLES SHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
46900 MONROE ST, INDIO, CA 92201-4827
(760) 396-5733
Mailing address
80533 CAMINO SANTA JULIANA, INDIO, CA 92203-7502
(760) 297-2110
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
18408
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D18408
—
CA
Enumeration date
06/12/2007
Last updated
07/07/2014
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