Thomas Richard Stark DDS

NPI 1013952266 - Dentist - 1223P0221X

NPI Details
NPI 1013952266
Gender Male
Enumeration Date 06/19/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
BUILDING 171, 4TH & INNER LOOP ROAD
FORT IRWIN CA, 92310-5076, US
Phone (760) 380-5733
Fax (760) 380-4996
Business Location
BUILDING 171, 4TH & INNER LOOP ROAD
PO BOX 105076
FORT IRWIN CA, 92310-5076, US
Phone (760) 380-5733
Fax (760) 380-4996
Toxanomy
Taxonomy Code 1223P0221X
License State Texas
License Number 21135
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According to our database, Dr. Thomas Richard Stark DDS NPI is 1013952266, taxonomy code is 1223P0221X and license number is 21135, license state is located at Texas. Thomas Richard Stark DDS physically located at Building 171, 4th & Inner Loop Road, Fort Irwin CA, 92310-5076. NPI Number Thomas Richard Stark DDS has the Individual type.

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1013952266 NPI number is provided on an as is basis without warranty of any kind. 1013952266 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Richard Stark DDS are for informational purposes only.