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1346574316
DERRIK PALMER STARK
LONGVIEW, WA
NPI
1346574316
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA DE 60094586)
Enumeration Date
2009-09-23
Last Update Date
2009-09-23
Business 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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Mailing Address
Dr. DERRIK PALMER STARK DDS
820 OCEAN BEACH HWY SUITE 110
LONGVIEW, WA 98632-4080
Phone number: 360-577-0566
Copy
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