Waters, Mark Newton

Waters, Mark Newton is an sole proprietor health care provider with primary practice located at 116 W 21St St , Clovis NM 88101-4364. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Waters, Mark Newton can be contacted via phone (505) 763-7632.

Contact Information

Primary practice address
116 W 21St St Clovis NM 88101-4364
Phone: (505) 763-7632
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DD1426 NM New Mexico

Profile Details

NPI number 1699789586
LBN Legal business name Waters, Mark Newton
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2006
Last updated Jul 8th, 2007 - about 19 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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