DERRIK PALMER STARK

LONGVIEW, WA
NPI1346574316
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WA  DE 60094586)
Enumeration Date2009-09-23
Last Update Date2009-09-23
Business Address
Dr. DERRIK PALMER STARK DDS
820 OCEAN BEACH HWY SUITE 110
LONGVIEW, WA 98632-4080
Phone number: 360-577-0566
Mailing Address
Dr. DERRIK PALMER STARK DDS
820 OCEAN BEACH HWY SUITE 110
LONGVIEW, WA 98632-4080
Phone number: 360-577-0566
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