Benjamin Stark
NPI #1174723365 in Farmington, New Mexico
Provider Information
- NPI Number
- 1174723365
- Entity Type
- Individual
- Name
- Benjamin Stark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Enumeration Date
- Jul 25, 2007
- Last Updated
- Jul 25, 2007
Practice Location
- Address
- 6588 E MAIN ST
- City
- Farmington
- State
- New Mexico
- ZIP Code
- 87402-5122
- Phone
- (505) 326-6800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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