Individual
DR. HALEY STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
6759 HICKORY RD, WOODSTOCK, GA 30188-2019
(678) 540-1680
Mailing address
6759 HICKORY RD, WOODSTOCK, GA 30188-2019
(678) 540-1680
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN014792
GA
Other
Enumeration date
07/10/2014
Last updated
12/12/2022
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