Michael Alexander Staveris D.D.S.

NPI 1407901150 - Dentist - 1223G0001X

NPI Details
NPI 1407901150
Gender Male
Enumeration Date 01/24/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3992 FOOTHILLS BLVD
SUITE 120
ROSEVILLE CA, 95747-7280, US
Phone (916) 782-7808
Fax (916) 782-7466
Business Location
3992 FOOTHILLS BLVD
SUITE 120
ROSEVILLE CA, 95747-7280, US
Phone (916) 782-7808
Fax (916) 782-7466
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 32184
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According to our database, Dr. Michael Alexander Staveris D.D.S. NPI is 1407901150, taxonomy code is 1223G0001X and license number is 32184, license state is located at California. Michael Alexander Staveris D.D.S. physically located at 3992 Foothills Blvd, Roseville CA, 95747-7280. NPI Number Michael Alexander Staveris D.D.S. has the Individual type.

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1407901150 NPI number is provided on an as is basis without warranty of any kind. 1407901150 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Alexander Staveris D.D.S. are for informational purposes only.