Organization
PERIO CARE SPA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRA L EISENSTEIN DMD (OWNER)
(856) 755-0992
Entity
Organization
Contact information
Practice address
1050 KINGS HWY N STE 104, CHERRY HILL, NJ 08034-1909
(856) 755-0992
Mailing address
1050 KINGS HWY N STE 104, CHERRY HILL, NJ 08034-1909
(856) 755-0992
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
22D101115000
NJ
Other
Enumeration date
12/28/2006
Last updated
08/22/2020
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