| NPI | 1346430840 |
|---|---|
| Other Name | GEORGE WILLIAM SANDAU |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ 22DI02195608) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ DIO2195600) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2018-08-27 |