Individual
JAY MCEACHERN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2401 BELAIR RD, STE 104, BALTIMORE, MD 21213-1200
(410) 522-5777
Mailing address
350 N CLARK ST STE 600, C/O KOS SERVICES, CHICAGO, IL 60654-4782
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9224
MD
Other
Enumeration date
02/03/2007
Last updated
06/09/2016
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