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1699789586
MARK NEWTON WATERS
CLOVIS, NM
NPI
1699789586
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NM DD1426 NM)
Enumeration Date
2006-07-28
Last Update Date
2007-07-08
Business Address
Dr. MARK NEWTON WATERS D.D.S.
116 W 21ST ST
CLOVIS, NM 88101-4364
Phone number: 505-763-7632
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Mailing Address
Dr. MARK NEWTON WATERS D.D.S.
116 W 21ST ST
CLOVIS, NM 88101-4364
Phone number: 505-763-7632
Copy
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