Individual
DR. JOHN D STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2120 W 12600 S, RIVERTON, UT 84065-7131
(801) 254-0713
(801) 254-0417
Mailing address
1258 W SOUTH JORDAN PKWY, STE 204, SOUTH JORDAN, UT 84095-4712
(801) 254-0713
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5656136
UT
Other
Enumeration date
10/04/2006
Last updated
01/07/2016
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