DR. Michele Debra Stark, DMD

NPI #1942429048 in Worden, Illinois

Provider Information

NPI Number: 1942429048
Entity Type: Individual
Name: DR. Michele Debra Stark, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Apr 25, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 224 E WALL ST
City: Worden
State: Illinois
ZIP Code: 62097-1306
Phone: (618) 459-3626

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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