Individual
ERIC D STAVOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
14045 N 7TH ST, SUITE 3, PHOENIX, AZ 85022-4388
(602) 993-5455
Mailing address
14045 N 7TH ST, SUITE 3, PHOENIX, AZ 85022-4388
(602) 993-5455
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3421
AZ
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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