IndividualActive
Hailey Stark, RDA
NPI 1720939481 · Dental Assistant · Kennewick, WA
Provider details
- NPI number
- 1720939481
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Credential
- RDA
- Sex
- Female
- Sole proprietor
- No
- License
- D161629998 (WA)
Mailing address
5581 Langford Rd
Mesa, WA 99343-9667
Registry dates
- Enumerated
- 2026-02-06
- Last updated
- 2026-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.