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Organization
MARK K WILSON DDS
Active
Organization
MARK K WILSON DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK K WILSON DDS (OWNER)
(870) 563-6900
Entity
Organization
Contact information
Practice address
107 N MAPLE ST, OSCEOLA, AR 72370-2537
(870) 563-6900
(870) 563-8298
Mailing address
PO BOX 307, OSCEOLA, AR 72370-0307
(870) 563-6900
(870) 563-8298
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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