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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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