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:
Health care specialties
| Specialty | Code | License # | 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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