Organization
ERIC STAVOE, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC STAVOE DDS (OWNER)
(602) 843-6000
Entity
Organization
Contact information
Practice address
15640 N 7TH ST STE A4, PHOENIX, AZ 85022-3520
(602) 843-6000
Mailing address
15640 N 7TH ST STE A4, PHOENIX, AZ 85022-3520
(602) 843-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
3360
AZ
1223G0001X
General Practice Dentistry
Primary
3421
AZ
Other
Enumeration date
07/03/2011
Last updated
07/03/2011
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