Kids Tooth Team Lake Orion Pllc
NPI #1154105542 in Lake Orion, Michigan
Provider Information
- NPI Number
- 1154105542
- Entity Type
- Organization
- Organization Name
- Kids Tooth Team Lake Orion Pllc
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Aug 24, 2023
- Last Updated
- Aug 24, 2023
Practice Location
- Address
- 4749 S BALDWIN RD
- City
- Lake Orion
- State
- Michigan
- ZIP Code
- 48359-2114
- Phone
- (810) 252-6616
Authorized Official
- Name
- DR. KASEY MARIE STARK, DDS
- Title
- OWNER / PEDIATRIC DENTIST
- Phone
- (810) 252-6616
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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