Organization · Type 2 NPI
Elizabeth Staves, D.d.s.
Dental Clinic/Center · St. Petersburg, FL
NPI number
1366849705
Active
Practice location
5310 4th St N
St. Petersburg, FL 33703-2916
Fax (727) 526-5944
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | DN13943 (FL) |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1366849705
Elizabeth Staves, D.d.s.'s National Provider Identifier is 1366849705, issued on Dec 1, 2014. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in St. Petersburg, FL. The record was last updated on Dec 1, 2014.