Matthew Jon Stark, DDS
NPI #1154519296 in Santa Rosa, California
Provider Information
- NPI Number
- 1154519296
- Entity Type
- Individual
- Name
- Matthew Jon Stark, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Oct 12, 2007
- Last Updated
- Aug 6, 2012
Practice Location
- Address
- 144 STONY POINT RD
- City
- Santa Rosa
- State
- California
- ZIP Code
- 95401-4122
- Phone
- (707) 521-4600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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