Healthcare Provider Details

I. General information

NPI: 1457723041
Provider Name (Legal Business Name): CHERAG DINSHAW SARKARI DDS A DENTAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2015
Last Update Date: 10/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2140 E PALMDALE BLVD SUITE A
PALMDALE CA
93550-1202
US

IV. Provider business mailing address

8890 CAL CENTER DR
SACRAMENTO CA
95826-3200
US

V. Phone/Fax

Practice location:
  • Phone: 661-265-1700
  • Fax: 661-265-1709
Mailing address:
  • Phone: 916-922-5000
  • Fax: 916-646-9000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number50983
License Number StateCA

VIII. Authorized Official

Name: MR. CHERAG D SARKARI
Title or Position: PRESIDENT
Credential: DDS
Phone: 916-563-6011