| NPI | 1366795718 |
|---|---|
| Doing Business As | EAVES FAMILY DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | EDMUND E EAVES Owner 315-536-3341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2016-09-19 |