Individual
DR. MYRON D EISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1720 COTTMAN AVE, PHILADELPHIA, PA 19111
(215) 342-9010
(215) 342-9010
Mailing address
1720 COTTMAN AVE, PHILADELPHIA, PA 19111
(215) 342-9010
(215) 342-9010
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS012939L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005374740001
—
PA
Enumeration date
02/08/2007
Last updated
07/08/2007
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