Benjamin Stark

NPI 1174723365 · on the registry since 2007

Practice

Address: 6588 E Main St
Farmington, NM 87402
Phone: (505) 326-6800
Fax: (505) 326-6820
Organisation at this address: Sundance Family Dental
6588 East Main Farmington Llc
Dds Catalyst Country Club Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: Dentist
122300000X
Licence states on file: NM
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico