Individual
DR. ERIC JAY EISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
710 ROBERT YORK AVE STE A, DEERFIELD, IL 60015-4343
(847) 444-0022
(847) 444-0033
Mailing address
710 ROBERT YORK AVE STE A, DEERFIELD, IL 60015-4343
(847) 444-0022
(847) 444-0033
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
IL
Other
Enumeration date
02/04/2008
Last updated
02/04/2008
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