NPI | 1699912238 |
---|---|
Doing Business As | ROBERT STARK, DDS, P.A. |
Entity Type | Organization |
Authorized Contact | CHELSEA JACKSON Office Manager 479-717-2904 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3348) |
Enumeration Date | 2009-01-20 |
Last Update Date | 2009-01-20 |