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Organization
JEFFREY MARC EISNER, D.M.D., P.A.
Active
Organization
JEFFREY MARC EISNER, D.M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY MARC EISNER D.M.D. (OWNER)
(305) 279-8600
Entity
Organization
Contact information
Practice address
11020 N KENDALL DR, SUITE 106, MIAMI, FL 33176-1246
(305) 279-8600
(305) 279-6918
Mailing address
11020 N KENDALL DR, SUITE 106, MIAMI, FL 33176-1246
(305) 279-8600
(305) 279-6918
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
66500
MEDICARE PTAN
FL
Enumeration date
07/24/2013
Last updated
07/26/2013
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