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1699901595
FREDERICK WAYNE STARK
DERBY, KS
NPI
1699901595
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: KS 60680)
Enumeration Date
2009-06-05
Last Update Date
2019-01-03
Business Address
DR. FREDERICK WAYNE STARK DDS
1710 E MADISON AVE STE 600
DERBY, KS 67037-2285
Phone number: 316-788-4000
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Mailing Address
DR. FREDERICK WAYNE STARK DDS
700 N MAPLE ST
MCPHERSON, KS 67460-3325
Phone number: 620-241-5000
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