Organization
KIDS TOOTH TEAM LAKE ORION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KASEY MARIE STARK DDS (OWNER / PEDIATRIC DENTIST)
(810) 252-6616
Entity
Organization
Contact information
Practice address
4749 S BALDWIN RD, LAKE ORION, MI 48359-2114
(810) 252-6616
Mailing address
5141 MEADOWHILL TRL, GRAND BLANC, MI 48439-8339
(810) 252-6616
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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