Stark, Catherine Susan

Stark, Catherine Susan is an sole proprietor health care provider with primary practice located at 3930 S Nova Rd #201, Port Orange FL 32127-9281. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Stark, Catherine Susan can be contacted via phone (386) 212-5071.

Contact Information

Primary practice address
3930 S Nova Rd #201 Port Orange FL 32127-9281
Phone: (386) 212-5071
Fax: (603) 687-4663
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH007569 Florida

Profile Details

NPI number 1740411537
LBN Legal business name Stark, Catherine Susan
Credentials RDH, ORALFACIAL MYOL
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2009
Last updated Jul 28th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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