| NPI | 1992479356 |
|---|---|
| Doing Business As | STATON FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | TREVOR WILLIAM STATON Owner/Dentist 706-745-9621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2021-08-09 |