DR. Deborha Lynn Staten, D.M.D.

NPI #1104175272 in Las Vegas, Nevada

Provider Information

NPI Number: 1104175272
Entity Type: Individual
Name: DR. Deborha Lynn Staten, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Sep 5, 2012
Last Updated: Oct 20, 2020

Practice Location

Address: 5475 S FORT APACHE RD STE 100
City: Las Vegas
State: Nevada
ZIP Code: 89148-6410
Phone: (702) 736-7979

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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