Individual
THOMAS MICHAEL STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
1212 DUFF AVENUE, AMES, IA 50010
(515) 232-2255
(515) 233-9527
Mailing address
1212 DUFF AVENUE, AMES, IA 50010
(515) 232-2255
(515) 233-9527
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
06942
IA
Other
Enumeration date
09/15/2006
Last updated
06/13/2024
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