Healthcare Provider Details

I. General information

NPI: 1437213170
Provider Name (Legal Business Name): CHERAG DINSHAW SARKARI DDS A DENTAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 09/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 SONOMA BLVD
VALLEJO CA
94590
US

IV. Provider business mailing address

8890 CAL CENTER DRIVE
SACRAMENTO CA
95826
US

V. Phone/Fax

Practice location:
  • Phone: 707-554-4000
  • Fax: 707-554-6146
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