| Sandra D Picazio Ms Dds Pa | |
|
388 Pompton Ave Cedar Grove NJ 07009-1814 | |
| (973) 239-4315 | |
| (973) 239-3728 |
| Full Name | Sandra D Picazio Ms Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 388 Pompton Ave, Cedar Grove, New Jersey |
| Authorized Official Name and Position | Sandra Dawn Picazio (PRESIDENT) |
| Authorized Official Contact | 9732394315 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra D Picazio Ms Dds Pa 388 Pompton Ave Cedar Grove NJ 07009 Ph: (973) 239-4315 | Sandra D Picazio Ms Dds Pa 388 Pompton Ave Cedar Grove NJ 07009-1814 Ph: (973) 239-4315 |
| NPI Number | 1235252842 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235252842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DI017098 (New Jersey) | Primary |
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