Individual
NADEZDA SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2515 HWY. 516, OLD BRIDGE, NJ 08857
(732) 679-3600
Mailing address
122 BENNETT AVE, STATEN ISLAND, NY 10312-4021
(347) 571-3734
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02537900
NJ
Other
Enumeration date
05/19/2012
Last updated
08/04/2015
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