Mark N. Waters, D.d.s, P.c.

NPI #1023472313 in Clovis, New Mexico

Provider Information

NPI Number: 1023472313
Entity Type: Organization
Organization Name: Mark N. Waters, D.d.s, P.c.
Primary Specialty: Dentist
Enumeration Date: Apr 12, 2016
Last Updated: Apr 12, 2016

Practice Location

Address: 116 W 21ST ST
City: Clovis
State: New Mexico
ZIP Code: 88101-4364
Phone: (575) 763-7632

Authorized Official

Name: DR. MARK NEWTON WATERS, D.D.S.
Title: PRESIDENT/DENTIST
Phone: (575) 763-7632

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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