Individual
WILLIAM DENNIS EAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
269 UNION ST, LYNN, MA 01901
(781) 581-9368
(781) 581-9583
Mailing address
PO BOX 526, LYNN, MA 01903
(781) 596-2502
(781) 596-3966
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16618
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1301853
—
MA
Enumeration date
09/06/2006
Last updated
07/08/2007
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