Individual
JILLIAN E EAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5551 SUNSET BLVD STE B, LEXINGTON, SC 29072-9132
(803) 399-8829
(803) 520-0752
Mailing address
5551 SUNSET BLVD STE B, LEXINGTON, SC 29072-9132
(803) 399-8829
(803) 520-0752
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8985
SC
Other
Enumeration date
07/17/2017
Last updated
07/21/2022
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