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Individual

DR. AUSTIN STARR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
473 S LANDMARK AVE, BLOOMINGTON, IN 47403-5005
(812) 318-1023
Mailing address
473 S LANDMARK AVE, BLOOMINGTON, IN 47403-5005
(812) 318-1023
(812) 318-1643

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12012916
IN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
3434
OH

Other

Enumeration date
07/02/2014
Last updated
06/22/2020
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