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Derrik Stark, DDS
NPI 1346574316 · on the registry since 2009 · sole proprietor
Practice
- Address
- 820 Ocean Beach Hwy
Suite 110
Longview, WA 98632 - Phone
- (360) 577-0566
- Organisation at this address
- Mountain Smiles, Pllc
Longview Eye & Vision
Smiles Dental Group, Pc
Jeromy R. Dixson, D.M.D., P.S.
Johnson, Dixson & Pond DentistryInferred from a shared address, not stated in the registry. - Clinicians at this address
- 18
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-09-23
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 Washington