Individual
BENJAMIN STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6588 E MAIN ST, FARMINGTON, NM 87402-5122
(505) 326-6800
(505) 326-6820
Mailing address
6588 E MAIN ST, FARMINGTON, NM 87402-5122
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD2909
NM
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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