DR. Mark Clinton Wilson, D.M.D.
NPI #1316037039 in Fort Payne, Alabama
Provider Information
- NPI Number
- 1316037039
- Entity Type
- Individual
- Name
- DR. Mark Clinton Wilson, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Oct 13, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 110 23RD ST NW
- City
- Fort Payne
- State
- Alabama
- ZIP Code
- 35967-3671
- Phone
- (256) 845-0765
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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