Brian A. Stark, D.d.s., S.c.
NPI #1609930627 in Menomonee Falls, Wisconsin
Provider Information
- NPI Number
- 1609930627
- Entity Type
- Organization
- Organization Name
- Brian A. Stark, D.d.s., S.c.
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 21, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- N84W15959 APPLETON AVE
- City
- Menomonee Falls
- State
- Wisconsin
- ZIP Code
- 53051-3044
- Phone
- (262) 251-6555
Authorized Official
- Name
- DR. BRIAN ANTHONY STARK, D.D.S.
- Title
- PRESIDENT
- Phone
- (262) 251-6555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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