Individual
DR. BRIAN ANTHONY STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
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
1223G0001X
General Practice Dentistry
Primary
5001496G
WI
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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