Individual
LISA HENRIKA VAN EYNDHOVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
103 CHESAPEAKE BLVD STE E, ELKTON, MD 21921-6391
(410) 648-2211
Mailing address
103 CHESAPEAKE BLVD STE E, ELKTON, MD 21921-6391
(410) 648-2211
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
15660
MD
1223P0221X
Pediatric Dentistry
22DI02558300
NJ
1223P0221X
Pediatric Dentistry
Primary
8683136
NY
Other
Enumeration date
03/15/2012
Last updated
11/03/2016
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