Efdg Bath Pllc

NPI #1811235617 in Bath, New York

Provider Information

NPI Number: 1811235617
Entity Type: Organization
Organization Name: Efdg Bath Pllc
Primary Specialty: Dentist
Enumeration Date: Jan 29, 2013
Last Updated: Sep 19, 2016

Practice Location

Address: 355 W MORRIS ST
City: Bath
State: New York
ZIP Code: 14810-1029
Phone: (607) 776-6600

Authorized Official

Name: DR. EDMUND E EAVES, DDS
Title: OWNER
Phone: (315) 536-3341

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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