Costes, Mark A
Costes, Mark A is an individual health care provider with primary practice located at 432 Butterfield Rd , Chino Valley AZ 86323-5613. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Costes, Mark A can be contacted via phone (928) 636-1565.Contact Information
Primary practice address
432 Butterfield Rd
Chino Valley AZ 86323-5613
Phone: (928) 636-1565
Fax: (928) 636-1164
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | D5634 | Arizona |
Dental Providers / General Practice | 1223G0001X | 6359 | California |
Profile Details
NPI number | 1932399680 |
---|---|
LBN Legal business name | Costes, Mark A |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 30th, 2007 |
Last updated | Jun 13th, 2016 - about 8 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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