Individual
DR. CORY MORRIS STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
112 E 12450 S, 100, DRAPER, UT 84020-8056
(801) 571-6751
(801) 571-4156
Mailing address
112 EAST 12450 SOUTH, 100, DRAPER, UT 84020
(801) 571-6751
(801) 571-4156
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
144937-9923
UT
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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