Organization
DEERFIELD ORTHODONTICS PC
Active
Organization
DEERFIELD ORTHODONTICS PC
Active
Other names
Eisen Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC JAY EISEN DDS MS (PRESIDENT)
(847) 212-1250
Entity
Organization
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
—
—
Other
Enumeration date
02/04/2008
Last updated
02/04/2008
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