| NPI | 1477731297 |
|---|---|
| Doing Business As | EISEN ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | ERIC JAY EISEN President 847-212-1250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2008-02-04 |