Individual
DR. KASEY MARIE STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
380 N STATE RD, OTISVILLE, MI 48463-9486
(810) 631-4524
Mailing address
631 E KIRBY ST, DETROIT, MI 48202-4122
(810) 252-6616
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901022317
MI
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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