Organization
EAVES FAMILY DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDMUND EAVES III (DENTIST)
(315) 536-3341
Entity
Organization
Contact information
Practice address
660 LIBERTY ST, PENN YAN, NY 14527-1035
(315) 536-3341
Mailing address
660 LIBERTY ST, PENN YAN, NY 14527-1035
(315) 536-3341
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
057335
NY
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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