# DR. MARK E. WILNER, DDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477725844
- **Authorized official:** MRS. DIANE L HOLEY (OFFICE MANAGER)
- **Authorized official phone:** (781) 595-2542

## Contact information

- **Practice address:** 225 BOSTON ST, SUITE 207, LYNN, MA 01904-3137
- **Practice address phone:** (781) 595-2542
- **Practice address fax:** (781) 595-5401
- **Mailing address:** 225 BOSTON ST, SUITE 207, LYNN, MA 01904-3137
- **Mailing address phone:** (781) 595-2542
- **Mailing address fax:** (781) 595-5401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 11389 | MA | Yes |

## Other

- **Enumeration date:** 03/26/2008
- **Last updated:** 03/26/2008