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1326131970
GEOFFREY A STARK
ROSEBURG, OR
NPI
1326131970
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OR 5542)
Enumeration Date
2006-10-02
Last Update Date
2007-07-08
Business Address
-- GEOFFREY A STARK DMD
1602 NW HUGHWOOD CT
ROSEBURG, OR 97470-8844
Phone number: 541-672-2872
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Mailing Address
-- GEOFFREY A STARK DMD
1602 NW HUGHWOOD CT
ROSEBURG, OR 97470-8844
Phone number: 541-672-2872
Copy
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