| Eric Stavoe, Dds, Pllc | |
|
15640 N 7th St Ste A4 Phoenix AZ 85022-3520 | |
| (602) 843-6000 | |
| Not Available |
| Full Name | Eric Stavoe, Dds, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15640 N 7th St Ste A4, Phoenix, Arizona |
| Authorized Official Name and Position | Eric Stavoe (OWNER) |
| Authorized Official Contact | 6028436000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Stavoe, Dds, Pllc 15640 N 7th St Ste A4 Phoenix AZ 85022-3520 Ph: (602) 843-6000 | Eric Stavoe, Dds, Pllc 15640 N 7th St Ste A4 Phoenix AZ 85022-3520 Ph: (602) 843-6000 |
| NPI Number | 1740577360 |
|---|---|
| Provider Enumeration Date | 07/03/2011 |
| Last Update Date | 07/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740577360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3421 (Arizona) | Primary |
| 1223G0001X | Dentist - General Practice | 3360 (Arizona) | Secondary |
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