Individual
DR. ELIZABETH SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1025 BROAD ST STE 3, BLOOMFIELD, NJ 07003-2844
(973) 338-1100
(973) 338-1059
Mailing address
1025 BROAD ST STE 3E, BLOOMFIELD, NJ 07003-2844
(973) 338-1100
(973) 338-1059
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
053693-1
NY
1223G0001X
General Practice Dentistry
Primary
22DI02233300
NJ
Other
Enumeration date
09/19/2007
Last updated
01/15/2020
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