Conover, Mark
Conover, Mark is an sole proprietor health care provider with primary practice located at 44100 Jefferson St # 506 , Indio CA 92201-9014. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Conover, Mark can be contacted via phone (951) 217-4625.Contact Information
Primary practice address
44100 Jefferson St # 506
Indio CA 92201-9014
Phone: (951) 217-4625
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DD3892 | New Mexico |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 28914 | California |
Profile Details
| NPI number | 1629460951 |
|---|---|
| LBN Legal business name | Conover, Mark |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 24th, 2015 |
| Last updated | Jan 7th, 2021 - about 3 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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