
Dental Board of California
Licensing details for: 835
Name: SACKETT, CHARLES(CARL) EDWIN IV
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
Address of Record
4750 Peninsula Point Dr
SEASIDE CA 93955-6506
MONTEREY county
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License Relationships
OCS to DDS, OMS, or SP
License/Registration Role: Oral Conscious Sedation Certificate
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: SACKETT, CHARLES EDWIN IV
License/Registration Type: Dentist License
License Number: 51646 Primary Status: Current - Active
Address :
4750 Peninsula Point Dr
SEASIDE CA 93955-6506
MONTEREY COUNTY