David Jordan Eisner
David Jordan Eisner is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Works from 2 locations. Licensed in Massachusetts.
- Licensed in
- MA
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
188 Longwood AveBoston, MA 02115-5819
Phone: (732) 547-0591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 201 Lyons Ave, Newark, NJ 07112-2027 — (732) 547-0591
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence DN1858476 (MA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1801359237 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 11, 2019 |
| Last updated in NPPES | April 6, 2020 |
| Certification date | April 6, 2020 |
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