Individual
DR. MARK ALAN STAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
6919 E 10TH ST, INDIANAPOLIS, IN 46219-4893
(317) 358-8885
Mailing address
1113 WESTFIELD CT W APT C, INDIANAPOLIS, IN 46220-1162
(206) 743-6080
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010762A
IN
1223G0001X
General Practice Dentistry
DE60076890
WA
Other
Enumeration date
05/23/2007
Last updated
07/01/2016
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