Organization
ELIZABETH STAVES, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH JEANNE STAVES D.D.S., P.A. (DENTIST)
(727) 526-5900
Entity
Organization
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
261QD0000X
Dental Clinic/Center
Primary
DN13943
FL
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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