Individual
DR. THOMAS RICHARD STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 539-9582
Mailing address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 539-9582
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
21135
TX
1223X2210X
Orofacial Pain Dentistry
21135
TX
Other
Enumeration date
06/19/2006
Last updated
07/25/2023
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