Individual
DR. ELIZABETH J. STAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, P.A.
Contact information
Practice address
5310 4TH ST N, ST PETERSBURG, FL 33703-2916
(727) 526-5900
(727) 526-5944
Mailing address
5310 4TH ST N, ST PETERSBURG, FL 33703-2916
(727) 526-5900
(727) 526-5944
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN 13943
FL
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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