Individual
MATTHEW JON STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1000 E LAKE ST, MINNEAPOLIS, MN 55407-1617
(612) 821-2017
Mailing address
1000 E LAKE ST, MINNEAPOLIS, MN 55407-1617
(612) 821-2017
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14862
MN
1223G0001X
General Practice Dentistry
56420
CA
Other
Enumeration date
10/12/2007
Last updated
06/16/2026
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