| NPI | 1366849705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH JEANNE STAVES Dentist 727-526-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN13943) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2014-12-01 |