Individual
MR. IRA L EISENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1050 N KINGS HWY, STE 104, CHERRY HILL, NJ 08034
(856) 755-0992
(856) 755-1444
Mailing address
955 CHANTICLEER, CHERRY HILL, NJ 08003-4805
(856) 424-1216
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
22D101115000
NJ
1223P0300X
Periodontics
DS018944L
PA
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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