Individual
DR. CHARLES EDWIN SACKETT IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
633 E ALVIN DRIVE STE B, SALINAS, CA 93906
(831) 443-1177
(831) 443-0705
Mailing address
631 E ALVIN DRIVE STUIE C, SALINAS, CA 93906
(831) 442-8878
(831) 443-4611
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
51646
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D51646
—
CA
Enumeration date
10/04/2006
Last updated
07/08/2007
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