Individual
DR. DEBORHA LYNN STATEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
5475 S FORT APACHE RD STE 100, LAS VEGAS, NV 89148-6410
(702) 736-7979
(702) 736-5851
Mailing address
680 PROSSER CREEK PL, HENDERSON, NV 89002-0953
(702) 595-6505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6292
NV
Other
Enumeration date
09/05/2012
Last updated
10/20/2020
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