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Individual

DR. STEVEN E EISEN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
101 MAIN ST, SUITE 206, MEDFORD, MA 02155-4540
(781) 395-5545
(781) 396-6935
Mailing address
39 HOME ST, MALDEN, MA 02148-3248
(781) 395-5545
(781) 396-6935

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17471
MA

Other

Enumeration date
10/24/2005
Last updated
07/08/2007
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