Individual
DR. MARK A. WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
400 DUNCAN STATION RD, MCKEESPORT, PA 15135-3333
(412) 751-7710
(412) 751-8427
Mailing address
400 DUNCAN STATION RD, MCKEESPORT, PA 15135-3333
(412) 751-7710
(412) 751-8427
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-021859-L
PA
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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