Organization
ROBERT STARK DDS PA
Active
Other names
Founders Park Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT STARK DDS (PRESIDENT)
(479) 717-2904
Entity
Organization
Contact information
Practice address
6801 ISAACS ORCHARD RD, STE. 101, SPRINGDALE, AR 72762-6096
(479) 717-2904
(501) 423-8910
Mailing address
6801 ISAACS ORCHARD RD, STE. 101, SPRINGDALE, AR 72762-6096
(479) 717-2904
(501) 423-8910
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3348
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174669608
—
AR
Enumeration date
03/17/2009
Last updated
03/17/2009
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