Individual
DR. MARK C. WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
35 E EAU CLAIRE ST, RICE LAKE, WI 54868-1747
(715) 234-9196
(715) 234-2279
Mailing address
35 E EAU CLAIRE ST, RICE LAKE, WI 54868-1747
(715) 234-9196
(715) 234-2279
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5001274
WI
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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