Individual
DR. EDMUND E EAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
660 LIBERTY ST, PENN YAN, NY 14527-1035
(315) 536-3341
(315) 536-7465
Mailing address
660 LIBERTY ST, PENN YAN, NY 14527-1035
(315) 536-3341
(315) 536-7465
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
037637
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00781282
—
NY
Enumeration date
02/19/2007
Last updated
02/19/2009
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