Organization
EDMUND E & MARILYN Y EAVES PTR
Active
Other names
Eaves Family Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDMUND E EAVES DDS (PARTNER)
(315) 536-3341
Entity
Organization
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00781282
—
NY
05
—
00781291
—
NY
Enumeration date
02/20/2007
Last updated
02/19/2009
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