Organization
BRIAN A. STARK, D.D.S., S.C.
Active
Other names
Avenue Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN ANTHONY STARK D.D.S. (PRESIDENT)
(262) 251-6555
Entity
Organization
Contact information
Practice address
N84W15959 APPLETON AVE, MENOMONEE FALLS, WI 53051-3044
(262) 251-6555
(262) 251-9518
Mailing address
N84W15959 APPLETON AVE, MENOMONEE FALLS, WI 53051-3044
(262) 251-6555
(262) 251-9518
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/21/2006
Last updated
08/22/2020
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