Organization
WILSON & FIQUETT, D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK CLINTON WILSON D.M.D. (PRESIDENT)
(256) 845-0765
Entity
Organization
Contact information
Practice address
110 23RD ST NW, FORT PAYNE, AL 35967-3671
(256) 845-0765
(256) 845-9895
Mailing address
110 23RD ST NW, FORT PAYNE, AL 35967-3671
(256) 845-0765
(256) 845-9895
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/13/2006
Last updated
08/22/2020
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