Individual
DR. DYLAN STARCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
1539 W MARKET ST, MEQUON, WI 53092-5053
(082) 147-3996
Mailing address
2637 2ND AVE, MONROE, WI 53566-3501
(608) 214-7399
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901600432
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2952000584
MI
Other
Enumeration date
07/01/2019
Last updated
06/17/2025
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