DR. Mark J. Wells, D.D.S.

NPI #1609918242 in Anna, Illinois

Provider Information

NPI Number: 1609918242
Entity Type: Individual
Name: DR. Mark J. Wells, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Feb 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 310 LICK CREEK RD
City: Anna
State: Illinois
ZIP Code: 62906-3214
Phone: (618) 833-2411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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