Provider Demographics
NPI:1366656829
Name:SALVADOR, ELIZABETH CAVANAUGH (DMD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:CAVANAUGH
Last Name:SALVADOR
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11013 N. DALE MABRY HWY
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618
Mailing Address - Country:US
Mailing Address - Phone:813-963-1724
Mailing Address - Fax:813-962-2410
Practice Address - Street 1:11013 N DALE MABRY HWY
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-3801
Practice Address - Country:US
Practice Address - Phone:813-963-1724
Practice Address - Fax:813-962-2410
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN134901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice