Organization
SANDRA D PICAZIO MS DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA DAWN PICAZIO D.D.S. (PRESIDENT)
(973) 239-4315
Entity
Organization
Contact information
Practice address
388 POMPTON AVE, CEDAR GROVE, NJ 07009-1814
(973) 239-4315
(973) 239-3728
Mailing address
388 POMPTON AVE, CEDAR GROVE, NJ 07009
(973) 239-4315
(973) 239-3728
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI017098
NJ
Other
Enumeration date
04/09/2007
Last updated
08/22/2020
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