Waterman, Phillip Andrew
Waterman, Phillip Andrew is an sole proprietor health care provider with primary practice located at 3748 Montgomery Dr , Santa Rosa CA 95405-5215. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Waterman, Phillip Andrew can be contacted via phone (707) 546-7905.Contact Information
Primary practice address
3748 Montgomery Dr
Santa Rosa CA 95405-5215
Phone: (707) 546-7905
Fax: (707) 546-1573
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 29520 | California |
Profile Details
| NPI number | 1487700704 |
|---|---|
| LBN Legal business name | Waterman, Phillip Andrew |
| Credentials | DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 27th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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