Individual
SANDRA PACHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1219 MAIN AVE, CLIFTON, NJ 07011-2241
(973) 473-0900
(973) 772-3989
Mailing address
1219 MAIN AVE, CLIFTON, NJ 07011-2241
(973) 473-0900
(973) 772-3989
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02023000
NJ
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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