Individual
DR. AMY STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
606 24TH AVE S STE 200, MINNEAPOLIS, MN 55454-1437
(612) 659-8689
(612) 658-8690
Mailing address
4600 CEDAR LAKE RD S APT 7, ST LOUIS PARK, MN 55416-3761
(612) 206-5623
(612) 659-8690
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
R471
MN
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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