Individual
DR. SCOTT B EISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
616 FREDERICK RD, CATONSVILLE, MD 21228-4625
(410) 747-1115
Mailing address
11092 HIDDEN TRAIL DR, OWINGS MILLS, MD 21117-2356
(410) 218-7744
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15232
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/05/2012
Last updated
06/27/2013
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