Individual
DR. ALEC SAUL EIDELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-3990
Mailing address
119 WINDSOR ST 2ND FLOOR, CAMBRIDGE, MA 02139-3648
(617) 665-3990
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1858348
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/08/2018
Last updated
03/17/2020
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