Individual
ALAN SELIG EIDENSOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3322 FREDERICK AVE, BALTIMORE, MD 21229-3810
(410) 566-2080
(410) 566-6379
Mailing address
3322 FREDERICK AVE, BALTIMORE, MD 21229-3810
(410) 566-2080
(410) 566-6379
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7739
MD
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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