DR. Richard Bruce Stark, DDS

NPI #1679644710 in Morris, Minnesota

Provider Information

NPI Number
1679644710
Entity Type
Individual
Name
DR. Richard Bruce Stark, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Nov 12, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
201 E 6TH ST
City
Morris
ZIP Code
56267-1212
Phone
(320) 589-2161

Specialties & Taxonomy Codes

Specialty
Dentist

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