Individual
DR. GARY BRIAN EVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4602 RT 152, LAVALETTE, WV 25535
(304) 523-2332
(304) 523-0681
Mailing address
PO BOX 599, 4602 RT 152, LAVALETTE, WV 25535
(304) 523-2332
(304) 523-0681
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3218
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0134173000
—
WV
Enumeration date
01/24/2007
Last updated
07/08/2007
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