DR. Frederick Stark IV, DDS

NPI #1346815107 in Sheridan, Colorado

Provider Information

NPI Number: 1346815107
Entity Type: Individual
Name: DR. Frederick Stark IV, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 24, 2021
Last Updated: May 24, 2021

Practice Location

Address: 3960 RIVER POINT PKWY UNIT A
City: Sheridan
State: Colorado
ZIP Code: 80110-3315
Phone: (303) 781-2340

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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