Watson, Mark Douglas

Watson, Mark Douglas is an sole proprietor health care provider with primary practice located at 1511 Payne Avenue , St. Paul MN 55130. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Watson, Mark Douglas can be contacted via phone (651) 776-2708.

Contact Information

Primary practice address
1511 Payne Avenue St. Paul MN 55130
Phone: (651) 776-2708
Fax: (651) 778-0380
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X MN 8539 Minnesota

Profile Details

NPI number 1780603670
LBN Legal business name Watson, Mark Douglas
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2006
Last updated Feb 15th, 2017 - about 7 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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