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Organization
STATON FAMILY DENTISTRY
Active
Organization
STATON FAMILY DENTISTRY
Active
Other names
Staton Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TREVOR WILLIAM STATON DMD (OWNER/DENTIST)
(706) 745-9621
Entity
Organization
Contact information
Practice address
48 HARALSON PL STE 4, BLAIRSVILLE, GA 30512-3023
(706) 745-9621
(706) 745-9622
Mailing address
48 HARALSON PL STE 4, BLAIRSVILLE, GA 30512-3023
(706) 745-9621
(706) 745-9622
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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