Individual
ELIZABETH CARTER STAPLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4348 ELECTRIC RD, ROANOKE, VA 24018-0720
(540) 769-0600
(540) 772-3889
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401417184
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
T64031276
VA
Other
Enumeration date
05/27/2020
Last updated
07/22/2022
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