Individual
DR. REBECCA EIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1033 RIVER RD, NEW MILFORD, NJ 07646-3119
(201) 836-7166
Mailing address
140 NORMA RD, TEANECK, NJ 07666-4234
(201) 220-3036
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02676800
NJ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI02676800
NJ
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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