Individual
DR. MARK F EISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1811 S. CRAIN HWY, GLEN BURNIE, MD 21061
(410) 760-4455
(410) 766-9704
Mailing address
1811 S. CRAIN HWY, GLEN BURNIE, MD 21061
(410) 760-4455
(410) 766-9704
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8529
MD
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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