Individual
DR. CLEVE RONALD EADS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
044287
NY
1223G0001X
General Practice Dentistry
D9127
AZ
Other
Enumeration date
05/14/2007
Last updated
04/11/2019
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