Individual
DR. CHARLES EDWARD SANDERS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
17732 BAYWATCH CT NE, POULSBO, WA 98370-7308
(360) 509-3044
Mailing address
17732 BAYWATCH CT NE, POULSBO, WA 98370-7308
(360) 509-3044
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE00008461
WA
Other
Enumeration date
12/06/2006
Last updated
06/05/2012
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