Individual
DANA JULIE STARCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
8112 ISABELLA LN STE 101, BRENTWOOD, TN 37027-9102
(615) 778-0810
Mailing address
8112 ISABELLA LN STE 101, BRENTWOOD, TN 37027-9102
(615) 778-0810
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
1003621
WI
124Q00000X
Dental Hygienist
Primary
10245
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003621
RDH LICENSE
WI
Enumeration date
11/22/2020
Last updated
02/14/2022
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