Individual
HAILEY P STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
306 N DELAWARE ST, KENNEWICK, WA 99336-7702
(509) 735-7591
Mailing address
5581 LANGFORD RD, MESA, WA 99343-9667
(509) 318-5995
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
D161629998
WA
Other
Enumeration date
02/06/2026
Last updated
02/06/2026
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