Mark K Wilson DDS

NPI #1235725839 in Osceola, Arkansas

Provider Information

NPI Number: 1235725839
Entity Type: Organization
Organization Name: Mark K Wilson DDS
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Dec 17, 2020
Last Updated: Dec 17, 2020

Practice Location

Address: 107 N MAPLE ST
City: Osceola
State: Arkansas
ZIP Code: 72370-2537
Phone: (870) 563-6900

Authorized Official

Name: DR. MARK K WILSON, DDS
Title: OWNER
Phone: (870) 563-6900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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