Brian A. Stark, DDS, SC
Brian A. Stark, DDS, SC is a Dental Clinic/Center in Menomonee Falls, Wisconsin. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
N84W15959 Appleton AveMenomonee Falls, WI 53051-3044
Phone: (262) 251-6555
Fax: (262) 251-9518
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1609930627 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brian Stark — President · (262) 251-6555 |
| Other names | Avenue Dental Group |
| NPI enumerated | December 21, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | N84w15959 Appleton Ave, Menomonee Falls, WI 53051-3044 |
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