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Individual

DR. ROBERT ADRIAN STARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
6801 ISAACS ORCHARD RD STE 101, SPRINGDALE, AR 72762-6798
(479) 717-2904
(501) 423-8910
Mailing address
6801 ISAACS ORCHARD RD STE 101, SPRINGDALE, AR 72762-6798
(479) 717-2904
(501) 423-8910

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3348
AR
1223G0001X
General Practice Dentistry
5514
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
174669608
AR
Enumeration date
07/02/2006
Last updated
01/13/2021
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